Dr Theresa Ebanks Wagner, MD in Cedar Park, TX

Dr Theresa Ebanks Wagner, MD is a medicare enrolled "Ophthalmology" physician in Cedar Park, Texas. Her current practice location is 925 Starwood Dr, Cedar Park, Texas. You can reach out to her office (for appointments etc.) via phone at (512) 327-7000.

Dr Theresa Ebanks Wagner is licensed to practice in Texas (license number H6185) 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 1912984857.

Contact Information

	Dr Theresa Ebanks Wagner, MD
	925 Starwood Dr, Cedar Park, TX 78613
	(512) 327-7000
	(512) 259-3802

Map and Direction

Physician's Profile

Full Name	Dr Theresa Ebanks Wagner
Gender	Female
Speciality	Ophthalmology
Location	925 Starwood Dr, Cedar Park, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912984857
Provider Enumeration Date: 12/30/2005
Last Update Date: 01/03/2024

Medicare PECOS Information:

PECOS PAC ID: 5193866226
Enrollment ID: I20100111000683

Medical Identifiers

Medical identifiers for Dr Theresa Ebanks Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912984857	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	H6185 (Texas)	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. Dr Theresa Ebanks Wagner allows following entities to bill medicare on her behalf.

Entity Name	Texan Eye, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205813961 PECOS PAC ID: 2466440458 Enrollment ID: O20040506000650

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 Theresa Ebanks 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
Dr Theresa Ebanks Wagner, MD 5717 Balcones Dr, Austin, TX 78731-4203 Ph: (512) 327-7000	Dr Theresa Ebanks Wagner, MD 925 Starwood Dr, Cedar Park, TX 78613 Ph: (512) 327-7000

Reviews and Comments

Ophthalmology Doctors in Cedar Park, TX

John William Branch, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1130 Cottonwood Creek Trl Ste D4, Cedar Park, TX 78613 Phone: 512-551-5500 Fax: 512-551-5509
Todd Robert Shepler, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 11901 W Parmer Ln, 400, Cedar Park, TX 78613 Phone: 512-528-1144 Fax: 512-528-1143
Amy Neuhoff Robertson, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 12171 W Parmer Ln, Ste 201, Cedar Park, TX 78613 Phone: 512-528-1144 Fax: 512-528-1143
Ms. Pooja Godara, M.D Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 925 Starwood Dr., Cedar Park, TX 78613 Phone: 512-327-7000 Fax: 512-259-3802
Dr. Ami Amar Shah Vira, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 210 N Lakeline Blvd Ste 100, Cedar Park, TX 78613 Phone: 512-553-9545
Dr. Vincent Anthony Restivo, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 12171 W Parmer Ln, Suite 201, Cedar Park, TX 78613 Phone: 512-528-1144 Fax: 512-528-1143
Dr. Chaitanya Indukuri, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 13625 Ronald Reagan Blvd, Bldg 9, Ste 100, Cedar Park, TX 78613 Phone: 512-856-5645

Dr Theresa Ebanks Wagner, MD - Medicare Ophthalmology in Cedar Park, TX