Hailey Lynn Wagner, PA-C in Fairfield, CT - Medicare Physician Assistant

Hailey Lynn Wagner, PA-C is a medicare enrolled "Physician Assistant" in Fairfield, Connecticut. Her current practice location is 1152 Kings Highway Cutoff, Fairfield, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 785-2579.

Hailey Lynn Wagner is licensed to practice in Connecticut (license number 6953) 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 1801616230.

Contact Information

	Hailey Lynn Wagner, PA-C
	1152 Kings Highway Cutoff, Fairfield, CT 06824-5271
	(203) 785-2579
	Not Available

Map and Direction

Provider's Profile

Full Name	Hailey Lynn Wagner
Gender	Female
Speciality	Physician Assistant
Location	1152 Kings Highway Cutoff, Fairfield, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801616230
Provider Enumeration Date: 10/11/2024
Last Update Date: 02/05/2025

Medicare PECOS Information:

PECOS PAC ID: 6103346028
Enrollment ID: I20250224000047

Medical Identifiers

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

Identifier	Type	State	Issuer
1801616230	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Secondary
363A00000X	Physician Assistant	6953 (Connecticut)	Primary

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. Hailey Lynn 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
Hailey Lynn Wagner, PA-C 11 Edgar Ave, Brookhaven, NY 11719-9605 Ph: (631) 905-1563	Hailey Lynn Wagner, PA-C 1152 Kings Highway Cutoff, Fairfield, CT 06824-5271 Ph: (203) 785-2579

Reviews and Comments

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Hailey Lynn Wagner, PA-C - Medicare Physician Assistant in Fairfield, CT