Mr Robert W Wagner, LPC in Tyrone, GA - Medicare Counselor Provider

Mr Robert W Wagner, LPC is a medicare enrolled "Counselor - Mental Health" provider in Tyrone, Georgia. His current practice location is 105 Greencastle Rd, Suite B, Tyrone, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 486-1011.

Mr Robert W Wagner is licensed to practice in Georgia (license number 003153) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457309387.

Contact Information

	Mr Robert W Wagner, LPC
	105 Greencastle Rd, Suite B, Tyrone, GA 30290-2937
	(770) 486-1011
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Robert W Wagner
Gender	Male
Speciality	Counselor - Mental Health
Location	105 Greencastle Rd, Tyrone, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457309387
Provider Enumeration Date: 05/04/2006
Last Update Date: 12/26/2007

Medicare PECOS Information:

PECOS PAC ID: 2062865702
Enrollment ID: I20240129003330

Medical Identifiers

Medical identifiers for Mr Robert W Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457309387	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	003153 (Georgia)	Primary
101YP2500X	Counselor - Professional	(* (Not Available))	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Robert W Wagner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Robert W Wagner, LPC 105 Greencastle Rd, Suite B, Tyrone, GA 30290-2937 Ph: (770) 757-7602	Mr Robert W Wagner, LPC 105 Greencastle Rd, Suite B, Tyrone, GA 30290-2937 Ph: (770) 486-1011

Reviews and Comments

Counselor in Tyrone, GA

Dr. Linda Guillard Pugh, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Glendalough Ct Ste E, Tyrone, GA 30290 Phone: 770-683-9375 Fax: 678-868-2354
Jane Constance Jones, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Glendalough Ct, Suite E, Tyrone, GA 30290 Phone: 770-683-9375 Fax: 678-868-2354
Elizabeth Ream, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Handley Rd Ste 310, Tyrone, GA 30290 Phone: 770-301-1502 Fax: 770-486-1067
Pamela Elder Pinckney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 179 Handley Rd Ste D8, Tyrone, GA 30290 Phone: 404-819-2945
Shawna Jackson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Glendalough Ct Ste E, Tyrone, GA 30290 Phone: 770-683-9375
Martha Bradley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Glendalough Ct Ste E, Tyrone, GA 30290 Phone: 770-683-9375
Mrs. Jessica Flowers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1015 Tyrone Rd Ste 710, Tyrone, GA 30290 Phone: 770-468-3326

Mr Robert W Wagner, LPC - Medicare Counselor in Tyrone, GA