John Wagner, MD in Shreveport, LA - Medicare Psychiatry & Neurology

John Wagner, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Shreveport, Louisiana. His current practice location is 7330 Fern Ave Ste 704, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 798-8261.

John Wagner is licensed to practice in Louisiana (license number MD.201230) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033320577.

Contact Information

	John Wagner, MD
	7330 Fern Ave Ste 704, Shreveport, LA 71105-4985
	(318) 798-8261
	(316) 798-8263

Map and Direction

Physician's Profile

Full Name	John Wagner
Gender	Male
Speciality	Psychiatry & Neurology - Child & Adolescent Psychiatry
Location	7330 Fern Ave Ste 704, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033320577
Provider Enumeration Date: 05/25/2007
Last Update Date: 05/22/2019

Medicare PECOS Information:

PECOS PAC ID: 7719001452
Enrollment ID: I20100901000375

Medical Identifiers

Medical identifiers for John Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033320577	NPI	-	NPPES
1214841	Medicaid	LA
4P278F600	Other	LA	MEDICARE - PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	MD.201230 (Louisiana)	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. John Wagner allows following entities to bill medicare on his behalf.

Entity Name	Brentwood Acquisition-shreveport Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164725701 PECOS PAC ID: 1951379312 Enrollment ID: O20040923000015

Entity Name	Lsu Health Sciences Center Shreveport Faculty Group Practice
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307

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. John 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
John Wagner, MD 7330 Fern Ave Ste 704, Shreveport, LA 71105-4985 Ph: (318) 798-8261	John Wagner, MD 7330 Fern Ave Ste 704, Shreveport, LA 71105-4985 Ph: (318) 798-8261

Reviews and Comments

Psychiatry & Neurology Doctors in Shreveport, LA

Peimin Zhu, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 Fax: 318-629-4833
Susan Ing, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 501 E Stoner Avenue, Shreveport, LA 71101 Phone: 318-221-8411
Izrail Abdurakhmanov, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Highway, Psychiatry, Shreveport, LA 71130 Phone: 318-626-2445
Richard Matthew Zweig, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Department Of Neurology, Shreveport, LA 71103 Phone: 318-675-7737 Fax: 318-675-5666
Niroshan Sathivadivel, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1006 Highland Ave, Shreveport, LA 71101 Phone: 877-678-7500
Ramsha Malik, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1811 E Bert Kouns Industrial Loop Ste 200, Shreveport, LA 71105 Phone: 318-212-2720 Fax: 318-212-2718

John Wagner, MD - Medicare Psychiatry & Neurology in Shreveport, LA