Angela Michelle Wagner, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in West Chester, Ohio. Her current practice location is
7723 Tylers Place Blvd # 215, West Chester, Ohio. You can reach out to her office (for appointments etc.) via phone at
(513) 360-8089.
Angela Michelle Wagner is licensed to practice in Ohio (license number APRN.CNP.023469) 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 1679032163.
Physician's Profile
| Full Name | Angela Michelle Wagner |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 7723 Tylers Place Blvd # 215, West Chester, Ohio |
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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: 1679032163
- Provider Enumeration Date: 03/14/2019
- Last Update Date: 05/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 2860825833
- Enrollment ID: I20200824000497
Medical Identifiers
Medical identifiers for Angela Michelle Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679032163 | NPI | - | NPPES |
| APRN.CNP.023469 | Other | OH | OHIO BOARD OF NURSING ADVANCED PRACTICE LICENSE |
| 5011542 | Other | NC | NORTH CAROLINA STATE BOARD OF NURSING - ADVANCED PRACTICE LICENSE # |
| 2018009202 | Other | | ANCC - BOARD CERTIFICATION |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | APRNCNP0234 (Ohio) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 5011542 (North Carolina) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.023469 (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. Angela Michelle Wagner allows following entities to bill medicare on her behalf.
| Entity Name | University Of Cincinnati Physicians Company Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801840434
PECOS PAC ID: 2264344480
Enrollment ID: O20031105000123 |
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| Entity Name | Psychological & Behavioral Consultants Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811915713
PECOS PAC ID: 0446243760
Enrollment ID: O20040405000363 |
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| Entity Name | Central Clinic Inc Mental Health Access Point |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881607471
PECOS PAC ID: 8123396520
Enrollment ID: O20170607001494 |
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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. Angela Michelle 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 |
|---|
Angela Michelle Wagner, PMHNP-BC
7723 Tylers Place Blvd # 215,
West Chester, OH 45069-4684
Ph: (513) 360-8089 | Angela Michelle Wagner, PMHNP-BC
7723 Tylers Place Blvd # 215,
West Chester, OH 45069-4684
Ph: (513) 360-8089 |
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