Andrea Joan Wagner, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Somerville, Massachusetts. Her current practice location is 
236 Highland Ave, Somerville, Massachusetts. You can reach out to her office (for appointments etc.) via phone at 
(617) 591-4263.
Andrea Joan Wagner is licensed to practice in Massachusetts (license number 54447) 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 1326102617.
			
			
			
			
			
		 
		
		 
Physician's Profile
		
			
			
			| Full Name | Andrea Joan Wagner | 
|---|
| Gender | Female | 
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| Speciality | Physical Medicine & Rehabilitation | 
|---|
| Location | 236 Highland Ave, Somerville, Massachusetts | 
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
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						  NPI Data:
			
			- NPI Number: 1326102617
- Provider Enumeration Date: 12/20/2006
- Last Update Date: 07/08/2007
  Medicare PECOS Information:
- PECOS PAC ID: 8921054479
- Enrollment ID: I20050328000710
 
		 
		 
Medical Identifiers
		Medical identifiers for Andrea Joan Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1326102617 | NPI | - | NPPES | 
| J04479 | Other | MA | BLUE CROSS BLUE SHIELD | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 208100000X | Physical Medicine & Rehabilitation | 54447 (Massachusetts) | 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. Andrea Joan 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 | 
|---|
		| Andrea Joan Wagner, MD 230 Highland Ave,
 Somerville, MA 02143-1408
 Ph: (617) 591-4263
 | Andrea Joan Wagner, MD 236 Highland Ave,
 Somerville, MA 02143-1495
 Ph: (617) 591-4263
 | 
		
		 
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