Abigail Wagnon, is a medicare enrolled "Marriage & Family Therapist" provider in Pryor, Oklahoma. She graduated from healthcare school in 2023 and has 3 years of diverse experience with area of expertise as Marriage And Family Therapist. Her current practice location is
231 E Graham Ave, Pryor, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 418-3691.
Abigail Wagnon is licensed to practice in Oklahoma (license number ) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1962053835.
Healthcare Provider's Profile
| Full Name | Abigail Wagnon |
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| Gender | Female |
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| Speciality | Marriage And Family Therapist |
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| Experience | 3 Years |
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| Location | 231 E Graham Ave, Pryor, Oklahoma |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Abigail Wagnon graduated from medical school in 2023
NPI Data:
- NPI Number: 1962053835
- Provider Enumeration Date: 09/23/2019
- Last Update Date: 03/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 3274013172
- Enrollment ID: I20260218004273
Medical Identifiers
Medical identifiers for Abigail Wagnon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1962053835 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | (Oklahoma) | Primary |
| 171M00000X | Case Manager/care Coordinator | (* (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. Abigail Wagnon allows following entities to bill medicare on her behalf.
| Entity Name | Grand Lake Mental Health Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497762520 PECOS PAC ID: 4688711534 Enrollment ID: O20091026000174 |
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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. Abigail Wagnon 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 |
Abigail Wagnon, 231 E Graham Ave, Pryor, OK 74361-2436 Ph: Not Available | Abigail Wagnon, 231 E Graham Ave, Pryor, OK 74361-2436 Ph: (918) 418-3691 |
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