Devon Wagner, APRN in Issaquah, WA - Medicare Nurse Practitioner

Devon Wagner, APRN is a medicare enrolled "Nurse Practitioner - Primary Care" in Issaquah, Washington. He graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Overlake Medical Clinics Llc and his current practice location is 5708 E. Lake Sammanish Pkwy Se, Issaquah, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 688-5777.

Devon Wagner is licensed to practice in Washington (license number AP61598671) 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 1407618739.

Contact Information

	Devon Wagner, APRN
	5708 E. Lake Sammanish Pkwy Se, Issaquah, WA 98029
	(425) 688-5777
	Not Available

Map and Direction

Provider's Profile

Full Name	Devon Wagner
Gender	Male
Speciality	Nurse Practitioner
Experience	1 Years
Location	5708 E. Lake Sammanish Pkwy Se, Issaquah, Washington
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:

Devon Wagner graduated from nursing school in 2024

NPI Data:

NPI Number: 1407618739
Provider Enumeration Date: 01/23/2024
Last Update Date: 08/23/2024

Medicare PECOS Information:

PECOS PAC ID: 9638601719
Enrollment ID: I20241014003695

Medical Identifiers

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

Identifier	Type	State	Issuer
1407618739	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	60929310 (Washington)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	AP61598671 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Overlake Hospital Medical Center	Bellevue, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Overlake Medical Clinics Llc	7012808827	380

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. Devon Wagner allows following entities to bill medicare on his behalf.

Entity Name	Overlake Medical Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801828421 PECOS PAC ID: 7012808827 Enrollment ID: O20040322001533

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. Devon 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
Devon Wagner, APRN 5708 E. Lake Sammanish Pkwy Se, Issaquah, WA 98029 Ph: (425) 688-5777	Devon Wagner, APRN 5708 E. Lake Sammanish Pkwy Se, Issaquah, WA 98029 Ph: (425) 688-5777

Reviews and Comments

Nurse Practitioner Nurses in Issaquah, WA

Stephanie Caroline Ouellet, RN, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 8th Ave Ne Ste 200, Issaquah, WA 98029 Phone: 425-392-3030 Fax: 425-392-2564
Miranda Joanne Garred, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 450 Nw Gilman Blvd Ste 105, Issaquah, WA 98027 Phone: 425-651-4242 Fax: 425-651-4244
Madeline Paige Gottlieb, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 245 Mt Rainier Pl Nw, Issaquah, WA 98027 Phone: 425-443-8859
Keesha Ewers, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 710 5th Ave Nw, Issaquah, WA 98027 Phone: 425-391-3376
Keya Chisholm, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 450 Nw Gilman Blvd, Suite 201, Issaquah, WA 98027 Phone: 425-391-0705 Fax: 425-391-9562
Shaily Arya, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 805 Front St S, Issaquah, WA 98027 Phone: 425-392-1271
Kristi Lynn Goings, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 175 1st Pl Nw Ste A, Issaquah, WA 98027 Phone: 425-651-4242

Devon Wagner, APRN - Medicare Nurse Practitioner in Issaquah, WA