Phyliss Wagner, LPCC - Medicare Counselor in Westlake, OH

Phyliss Wagner, LPCC is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Westlake, Ohio. Her current practice location is 24500 Center Ridge Rd Ste 110, Westlake, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 522-9810.

Phyliss Wagner is licensed to practice in Ohio (license number CDCA.164771) 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 1003325416.

Contact Information

Phyliss Wagner, LPCC
24500 Center Ridge Rd Ste 110,
Westlake, OH 44145-5604
(440) 522-9810
Not Available

Map and Direction


Healthcare Provider's Profile

Full NamePhyliss Wagner
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location24500 Center Ridge Rd Ste 110, Westlake, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003325416
  • Provider Enumeration Date: 09/28/2017
  • Last Update Date: 12/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1153777883
  • Enrollment ID: I20240307004043

Medical Identifiers

Medical identifiers for Phyliss Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003325416NPI-NPPES
CDCA.164771OtherOHLICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional E.2001993 (Ohio)Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) CDCA.164771 (Ohio)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. Phyliss Wagner allows following entities to bill medicare on her behalf.
Entity NameWagner And Associates Mental Health Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215525712
PECOS PAC ID: 4082060710
Enrollment ID: O20231031003613

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. Phyliss 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 AddressPractice Location Address
Phyliss Wagner, LPCC
107 Woodstock Dr,
Avon Lake, OH 44012-1622

Ph: (440) 989-4987
Phyliss Wagner, LPCC
24500 Center Ridge Rd Ste 110,
Westlake, OH 44145-5604

Ph: (440) 522-9810

Reviews and Comments


Counselor in Westlake, OH

Ms. Lydia Ann Gadd, LPCC S
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 24500 Center Ridge Rd, # 100, Westlake, OH 44145
Phone: 440-899-1300    Fax: 440-899-0266
Jacquelyn Casalina,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 24500 Center Ridge Rd Ste 395, Westlake, OH 44145
Phone: 440-455-9125    
Mrs. Courtney Perse, LPCC-S
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 24481 Detroit Rd, Westlake, OH 44145
Phone: 440-310-6361    
Elizabeth Gootee,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 24600 Detroit Rd Ste 265, Westlake, OH 44145
Phone: 440-742-1661    Fax: 949-437-2034
Carol Ball, LPCC-S
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 25000 Center Ridge Rd, Suite 6, Westlake, OH 44145
Phone: 440-892-7034    
Mr. Michael Paul Kearney, LPCC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 30400 Detroit Rd, Suite 306, Westlake, OH 44145
Phone: 440-779-7324    Fax: 440-617-1960

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.