Ms Carol Theresa Wagner, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Bronx, New York. She graduated from healthcare school in 1982 and has 43 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
2780 Schurz Ave, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 863-9134.
Ms Carol Theresa Wagner is licensed to practice in New York (license number PR029268-1) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760537062.
Healthcare Provider's Profile
| Full Name | Ms Carol Theresa Wagner |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 43 Years |
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| Location | 2780 Schurz Ave, Bronx, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Carol Theresa Wagner graduated from medical school in 1982
NPI Data:
- NPI Number: 1760537062
- Provider Enumeration Date: 01/24/2007
- Last Update Date: 08/06/2010
Medicare PECOS Information:
- PECOS PAC ID: 3072788488
- Enrollment ID: I20111214000359
Medical Identifiers
Medical identifiers for Ms Carol Theresa Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760537062 | NPI | - | NPPES |
| 147324 | Other | | VALUE OPTIONS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
| 101YS0200X | Counselor - School | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | PR029268-1 (New York) | Primary |
| 1041S0200X | Social Worker - School | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Carol Theresa Wagner allows following entities to bill medicare on her behalf.
| Entity Name | Preston Center Of Compassion |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760513774
PECOS PAC ID: 6406019645
Enrollment ID: O20120525000121 |
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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. Ms Carol Theresa 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 |
|---|
Ms Carol Theresa Wagner, LCSW
286 Logan Ave,
Bronx, NY 10465-3334
Ph: (718) 892-7599 | Ms Carol Theresa Wagner, LCSW
2780 Schurz Ave,
Bronx, NY 10465-3234
Ph: (718) 863-9134 |
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