Diane Wagner, MD - Medicare Pathology in Islip, NY

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Diane Wagner, MD is a medicare enrolled "Pathology - Medical Microbiology" physician in Islip, New York. Her current practice location is 43 Shebar Dr, Islip, New York. You can reach out to her office (for appointments etc.) via phone at (631) 581-1119.

Diane Wagner is licensed to practice in New York (license number 182713) 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 1194812164.

Contact Information

Diane Wagner, MD
43 Shebar Dr,
Islip, NY 11751-4409
(631) 581-1119
Not Available

Map and Direction




Physician's Profile

Full NameDiane Wagner
GenderFemale
SpecialityPathology - Medical Microbiology
Location43 Shebar Dr, Islip, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194812164
  • Provider Enumeration Date: 10/09/2006
  • Last Update Date: 09/11/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4284626029
  • Enrollment ID: I20040401000025

Medical Identifiers

Medical identifiers for Diane Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194812164NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZB0001XPathology - Blood Banking & Transfusion Medicine 182713 (New York)Secondary
207ZM0300XPathology - Medical Microbiology 182713 (New York)Primary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 182713 (New York)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 182713 (New York)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. Diane Wagner allows following entities to bill medicare on her behalf.
Entity NameFamily Residences And Essential Enterprises Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093863565
PECOS PAC ID: 5890687453
Enrollment ID: O20040327000334
Entity NameAid To The Developmentally Disabled Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912575762
PECOS PAC ID: 1658762182
Enrollment ID: O20211216002901

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. Diane 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 AddressPractice Location Address
Diane Wagner, MD
43 Shebar Dr,
Islip, NY 11751-4409

Ph: (631) 581-1119		Diane Wagner, MD
43 Shebar Dr,
Islip, NY 11751-4409

Ph: (631) 581-1119

Reviews and Comments


Pathology Doctors in Islip, NY


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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