Hailey Lynn Wagner, PT, DPT - Medicare Physical Therapist In Private Practice in Niceville, FL

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Hailey Lynn Wagner, PT, DPT is a medicare enrolled "Physical Therapist" physician in Niceville, Florida. She graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice North Florida Surgeons, Pa and her current practice location is 1950 Bluewater Blvd Ste 100, Niceville, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 807-4200.

Hailey Lynn Wagner is licensed to practice in Florida (license number PT36009) 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 1821602947.

Contact Information

Hailey Lynn Wagner, PT, DPT
1950 Bluewater Blvd Ste 100,
Niceville, FL 32578-3888
(850) 807-4200
Not Available

Map and Direction




Physician's Profile

Full NameHailey Lynn Wagner
GenderFemale
SpecialityPhysical Therapist In Private Practice
Experience6 Years
Location1950 Bluewater Blvd Ste 100, Niceville, Florida
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:
  • Hailey Lynn Wagner graduated from medical school in 2020
  NPI Data:
  • NPI Number: 1821602947
  • Provider Enumeration Date: 09/04/2020
  • Last Update Date: 02/21/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5799193611
  • Enrollment ID: I20210414001227

Medical Identifiers

Medical identifiers for Hailey Lynn Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821602947NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation PT36009 (Florida)Secondary
225100000XPhysical Therapist PT36009 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Florida Surgeons, Pa2769381391316

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. Hailey Lynn Wagner allows following entities to bill medicare on her behalf.
Entity NameNorth Florida Surgeons, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912953290
PECOS PAC ID: 2769381391
Enrollment ID: O20040102000629
Entity NamePremier Rehab Management Llc
Entity TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Entity IdentifiersNPI Number: 1821014390
PECOS PAC ID: 1951586890
Enrollment ID: O20120418000648

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. Hailey Lynn 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
Hailey Lynn Wagner, PT, DPT
1100 Circle 75 Pkwy Se Ste 1400,
Atlanta, GA 30339-3067

Ph: (678) 981-3543		Hailey Lynn Wagner, PT, DPT
1950 Bluewater Blvd Ste 100,
Niceville, FL 32578-3888

Ph: (850) 807-4200

Reviews and Comments



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.