Mitchell Wagner, MD is a medicare enrolled "Orthopaedic Surgery - Orthopaedic Trauma" physician in Wickenburg, Arizona. He went to University Of New Mexico School Of Medicine and graduated in 1990 and has 35 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Bhsm Rehabilitation Llc, Community Hospital Association Inc and his current practice location is
520 Rose Ln, Wickenburg, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 684-4365.
Mitchell Wagner is licensed to practice in Arizona (license number 27272) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1447330741.
Physician's Profile
| Full Name | Mitchell Wagner |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 35 Years |
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| Location | 520 Rose Ln, Wickenburg, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mitchell Wagner attended and graduated from University Of New Mexico School Of Medicine in 1990
NPI Data:
- NPI Number: 1447330741
- Provider Enumeration Date: 10/17/2006
- Last Update Date: 02/03/2016
Medicare PECOS Information:
- PECOS PAC ID: 2668430588
- Enrollment ID: I20041223000235
Medical Identifiers
Medical identifiers for Mitchell Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1447330741 | NPI | - | NPPES |
| 457920 | Medicaid | AZ | |
| AZ0866130 | Other | AZ | BCBS |
| 7878067 | Other | AZ | AETNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207X00000X | Orthopaedic Surgery | 27272 (Arizona) | Secondary |
| 207XX0801X | Orthopaedic Surgery - Orthopaedic Trauma | 27272 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Bhsm Rehabilitation Llc | 2062773138 | 1575 |
| Community Hospital Association Inc | 4981688900 | 19 |
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. Mitchell Wagner allows following entities to bill medicare on his behalf.
| Entity Name | Community Hospital Association Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841282852 PECOS PAC ID: 4981688900 Enrollment ID: O20040616001475 |
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| Entity Name | Community Hospital Association Inc |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1841282852 PECOS PAC ID: 4981688900 Enrollment ID: O20061104000489 |
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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. Mitchell 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 |
Mitchell Wagner, MD 520 Rose Ln, Wickenburg, AZ 85390-1447 Ph: (928) 684-4365 | Mitchell Wagner, MD 520 Rose Ln, Wickenburg, AZ 85390-1447 Ph: (928) 684-4365 |
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