Dr Samantha Wagner, MD - Medicare Family Practice in Atlanta, GA

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Dr Samantha Wagner, MD is a medicare enrolled "Family Medicine" physician in Atlanta, Georgia. She went to Duke University School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Grady Memorial Hospital Corporation and her current practice location is 2720 Metropolitan Pkwy Sw, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 905-9200.

Dr Samantha Wagner is licensed to practice in Georgia (license number 75943) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053756890.

Contact Information

Dr Samantha Wagner, MD
2720 Metropolitan Pkwy Sw,
Atlanta, GA 30315-7914
(404) 905-9200
(404) 815-4300

Map and Direction




Physician's Profile

Full NameDr Samantha Wagner
GenderFemale
SpecialityFamily Practice
Experience12 Years
Location2720 Metropolitan Pkwy Sw, Atlanta, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Samantha Wagner attended and graduated from Duke University School Of Medicine in 2012
  NPI Data:
  • NPI Number: 1053756890
  • Provider Enumeration Date: 05/07/2013
  • Last Update Date: 03/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0345542528
  • Enrollment ID: I20161003000797

Medical Identifiers

Medical identifiers for Dr Samantha Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053756890NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 75943 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Grady Memorial HospitalAtlanta, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Grady Memorial Hospital Corporation7517032998252

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. Dr Samantha Wagner allows following entities to bill medicare on her behalf.
Entity NameGrady Memorial Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114243813
PECOS PAC ID: 7517032998
Enrollment ID: O20100723000311
Entity NameGrady Memorial Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649765686
PECOS PAC ID: 7517032998
Enrollment ID: O20181107003377
Entity NameHni Medical Services Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952926370
PECOS PAC ID: 2961814934
Enrollment ID: O20201216000096
Entity NameEmory Physicians Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548680796
PECOS PAC ID: 6709294804
Enrollment ID: O20210408001960
Entity NamePmr Georgia Holding Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609329630
PECOS PAC ID: 8426466590
Enrollment ID: O20210409002172

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. Dr Samantha 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
Dr Samantha Wagner, MD
2720 Metropolitan Pkwy Sw,
Atlanta, GA 30315-7914

Ph: (404) 905-9200		Dr Samantha Wagner, MD
2720 Metropolitan Pkwy Sw,
Atlanta, GA 30315-7914

Ph: (404) 905-9200

Reviews and Comments


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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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.