Lee Shannon Wagner, MD in Pensacola, FL - Medicare Family Practice

Lee Shannon Wagner, MD is a medicare enrolled "Family Medicine" physician in Pensacola, Florida. She graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Usa Health Community Providers Llc and her current practice location is 5100 N 12th Ave Ste 201, Pensacola, Florida. You can reach out to her office (for appointments etc.) via phone at (448) 227-6330.

Lee Shannon Wagner is licensed to practice in Alabama (license number 42864) 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 1316442361.

Contact Information

	Lee Shannon Wagner, MD
	5100 N 12th Ave Ste 201, Pensacola, FL 32504-8919
	(448) 227-6330
	(850) 626-9606

Map and Direction

Physician's Profile

Full Name	Lee Shannon Wagner
Gender	Female
Speciality	Family Practice
Experience	8 Years
Location	5100 N 12th Ave Ste 201, Pensacola, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lee Shannon Wagner graduated from medical school in 2017

NPI Data:

NPI Number: 1316442361
Provider Enumeration Date: 03/29/2018
Last Update Date: 09/09/2025

Medicare PECOS Information:

PECOS PAC ID: 5597016881
Enrollment ID: I20210709001506

Medical Identifiers

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

Identifier	Type	State	Issuer
1316442361	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	ME176128 (Florida)	Secondary
207Q00000X	Family Medicine	42864 (Alabama)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Hospital	Mobile, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Usa Health Community Providers Llc	2062875479	77

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. Lee Shannon Wagner allows following entities to bill medicare on her behalf.

Entity Name	Alabama Providence Healthcare Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245669514 PECOS PAC ID: 9638308430 Enrollment ID: O20140127000341

Entity Name	Usa Health Community Providers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801571823 PECOS PAC ID: 2062875479 Enrollment ID: O20230913000247

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. Lee Shannon 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
Lee Shannon Wagner, MD Po Box 95590, South Jordan, UT 84095-0590 Ph: (801) 352-9500	Lee Shannon Wagner, MD 5100 N 12th Ave Ste 201, Pensacola, FL 32504-8919 Ph: (448) 227-6330

Reviews and Comments

Family Medicine Doctors in Pensacola, FL

Wayne S Willis, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3111 Peggy Bond Dr, Pensacola, FL 32504 Phone: 850-438-9755 Fax: 850-438-0699
Dr. Kyle Harvey, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 220 Hovey Rd, Pensacola, FL 32508 Phone: 770-396-3898
Alisha Dalila Carter, NP-BC Family Medicine Medicare: Medicare Enrolled Practice Location: 45 Industrial Blvd Ste C, Pensacola, FL 32503 Phone: 850-290-8410 Fax: 866-574-6391
Mr. David R Smith, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 321 S Fairfield Dr, Pensacola, FL 32506 Phone: 850-458-4200 Fax: 850-456-7222
Dr. Roberta Beals, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 161 E Nine Mile Rd, Pensacola, FL 32534 Phone: 850-696-4000 Fax: 850-434-2647
Mr. Christopher H Rush, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 321 S Fairfield Dr, Pensacola, FL 32506 Phone: 850-474-8546 Fax: 850-456-7222
Dr. Eric John Kujawski, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4541 N Davis Hwy Ste A, Pensacola, FL 32503 Phone: 850-494-9000

Lee Shannon Wagner, MD - Medicare Family Practice in Pensacola, FL