Anna C Wagner, RD is a medicare enrolled "Dietitian, Registered" provider in Viroqua, Wisconsin. Her current practice location is
507 S Main St, Viroqua, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 637-4251.
Anna C Wagner is licensed to practice in Wisconsin (license number 3035-29) 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 1881278711.
Healthcare Provider's Profile
Full Name | Anna C Wagner |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 507 S Main St, Viroqua, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1881278711
- Provider Enumeration Date: 05/06/2021
- Last Update Date: 01/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 8123558624
- Enrollment ID: I20250213001482
Medical Identifiers
Medical identifiers for Anna C Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881278711 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 3035-29 (Wisconsin) | 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. Anna C Wagner allows following entities to bill medicare on her behalf.
Provider Name | Vernon Memorial Healthcare Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1497750921 PECOS PAC ID: 8325958416 Enrollment ID: O20050526000095 |
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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. Anna C 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 |
Anna C Wagner, RD 507 S Main St, Viroqua, WI 54665-2059 Ph: (608) 637-4202 | Anna C Wagner, RD 507 S Main St, Viroqua, WI 54665-2059 Ph: (608) 637-4251 |
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