Patti Wagner, LPC is a medicare enrolled "Counselor - Mental Health" provider in Waterford, Wisconsin. She graduated from healthcare school in 2012 and has 14 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Lakeview Care Partners Inc and her current practice location is
1701 Sharp Rd, Waterford, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 531-2662.
Patti Wagner is licensed to practice in Wisconsin (license number 5837-125) 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 1396255774.
Healthcare Provider's Profile
| Full Name | Patti Wagner |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 14 Years |
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| Location | 1701 Sharp Rd, Waterford, Wisconsin |
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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. |
Medical Education and Training:
- Patti Wagner graduated from medical school in 2012
NPI Data:
- NPI Number: 1396255774
- Provider Enumeration Date: 10/11/2017
- Last Update Date: 12/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 3870035694
- Enrollment ID: I20240607003371
Medical Identifiers
Medical identifiers for Patti Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1396255774 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 5837-125 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Lakeview Care Partners Inc | 0840460259 | 2 |
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. Patti Wagner allows following entities to bill medicare on her behalf.
| Entity Name | Lakeview Care Partners Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083924732 PECOS PAC ID: 0840460259 Enrollment ID: O20110823000148 |
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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. Patti 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 |
Patti Wagner, LPC E7475 Rawhide Rd, New London, WI 54961-9025 Ph: () - | Patti Wagner, LPC 1701 Sharp Rd, Waterford, WI 53185-5214 Ph: (920) 531-2662 |
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