Samantha Wagner, LPC is a
Counselor - Professional based in Oakwood Hills, Illinois. Samantha Wagner is licensed to practice in Illinois (license number 178016407) and her current practice location is
63 Brittany Dr, Oakwood Hills, Illinois. She can be reached at her office (for appointments etc.) via phone at
(630) 273-1524.
NPI number for Samantha Wagner is 1003480922 and her current mailing address is 63 Brittany Dr, Oakwood Hills, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003480922.
Healthcare Provider's Profile
| Full Name | Samantha Wagner |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Professional |
|---|
| Location | 63 Brittany Dr, Oakwood Hills, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003480922
- Provider Enumeration Date: 05/15/2021
- Last Update Date: 05/15/2021
Medical Identifiers
Medical identifiers for Samantha Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1003480922 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP2500X | Counselor - Professional | 178016407 (Illinois) | Primary |
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. Samantha Wagner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Samantha Wagner, LPC 63 Brittany Dr, Oakwood Hills, IL 60013-6080 Ph: (630) 273-1524 | Samantha Wagner, LPC 63 Brittany Dr, Oakwood Hills, IL 60013-6080 Ph: (630) 273-1524 |
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