Faith P Wagner, NP in La Crosse, WI - Medicare Nurse Practitioner

Faith P Wagner, NP is a medicare enrolled "Nurse Practitioner - Family" in La Crosse, Wisconsin. Her current practice location is 2500 State Rd, La Crosse, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 775-5858.

Faith P Wagner is licensed to practice in Wisconsin (license number 1778) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1841295987.

Contact Information

	Faith P Wagner, NP
	2500 State Rd, La Crosse, WI 54601-5098
	(608) 775-5858
	Not Available

Map and Direction

Provider's Profile

Full Name	Faith P Wagner
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2500 State Rd, La Crosse, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841295987
Provider Enumeration Date: 06/16/2005
Last Update Date: 06/16/2014

Medicare PECOS Information:

PECOS PAC ID: 9436339199
Enrollment ID: I20110211000921

Medical Identifiers

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

Identifier	Type	State	Issuer
1841295987	NPI	-	NPPES
43931800	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1778 (Wisconsin)	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. Faith P Wagner allows following entities to bill medicare on her behalf.

Entity Name	Gundersen Clinic Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139

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. Faith P 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
Faith P Wagner, NP 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300	Faith P Wagner, NP 2500 State Rd, La Crosse, WI 54601-5098 Ph: (608) 775-5858

Reviews and Comments

Nurse Practitioner Nurses in La Crosse, WI

Stacie Strong, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2500 State Rd # 33, La Crosse, WI 54601 Phone: 608-775-5858
Julie Sonsalla, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Naomi Muthoni Ruiru, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Catherine A Ziegler, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940
Lisa Malmo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940
Tneshia Janeen Sweat, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Kathleen Marie Grangaard, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940

Faith P Wagner, NP - Medicare Nurse Practitioner in La Crosse, WI