Ms Mary Abigail Wagner, LMHC in Lakewood Ranch, FL

Ms Mary Abigail Wagner, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Lakewood Ranch, Florida. Her current practice location is 5569 Broadcast Ct, Lakewood Ranch, Florida. You can reach out to her office (for appointments etc.) via phone at (941) 254-4900.

Ms Mary Abigail Wagner is licensed to practice in Florida (license number MH12245) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1518050731.

Contact Information

	Ms Mary Abigail Wagner, LMHC
	5569 Broadcast Ct, Lakewood Ranch, FL 34240-8472
	(941) 254-4900
	(941) 355-2210

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Mary Abigail Wagner
Gender	Female
Speciality	Counselor - Mental Health
Location	5569 Broadcast Ct, Lakewood Ranch, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518050731
Provider Enumeration Date: 10/02/2006
Last Update Date: 01/13/2020

Medicare PECOS Information:

PECOS PAC ID: 7012434095
Enrollment ID: I20250505001210

Medical Identifiers

Medical identifiers for Ms Mary Abigail Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518050731	NPI	-	NPPES
757008200	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH12245 (Florida)	Primary

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 Mary Abigail Wagner allows following entities to bill medicare on her behalf.

Entity Name	Quality Bhs Florida Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689297541 PECOS PAC ID: 4082030721 Enrollment ID: O20200812002561

Entity Name	Telos Health Systems Fl Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801624242 PECOS PAC ID: 6901329556 Enrollment ID: O20250325001658

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 Mary Abigail 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 Mary Abigail Wagner, LMHC 349 Sea Grape Rd, Venice, FL 34293-1627 Ph: (941) 525-0318	Ms Mary Abigail Wagner, LMHC 5569 Broadcast Ct, Lakewood Ranch, FL 34240-8472 Ph: (941) 254-4900

Reviews and Comments

Counselor in Lakewood Ranch, FL

Ju Ha, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9050 58th Dr E, Lakewood Ranch, FL 34202 Phone: 941-907-0525
David Craig Stratton, LMHC, CRC Counselor Medicare: Medicare Enrolled Practice Location: 6600 University Pkwy Ste 304, Lakewood Ranch, FL 34240 Phone: 941-667-3600
Ms. Robyn Laporta, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 7313 Merchant Ct Ste F, Lakewood Ranch, FL 34240 Phone: 941-315-5441
Mrs. Roxanne Davis Pratt, LPCC, LMHC, MPH Counselor Medicare: Not Enrolled in Medicare Practice Location: 7313 Merchant Ct, Suite L, Lakewood Ranch, FL 34240 Phone: 941-350-3009 Fax: 678-426-6620
Judith Evitt, M.C., ED.D., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 11120 Bennett Dr Unit 37, Lakewood Ranch, FL 34211 Phone: 480-299-7042
Gail Ann Gerbig, MA, LMHC, CRC Counselor Medicare: Medicare Enrolled Practice Location: 8374 Market St # 117, Lakewood Ranch, FL 34202 Phone: 941-732-1386
Anne Hilliker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6407 Rosefinch Ct, Unit 206, Lakewood Ranch, FL 34202 Phone: 407-902-6163

Ms Mary Abigail Wagner, LMHC - Medicare Counselor in Lakewood Ranch, FL