Mr Jason Wagner, PA-C is a medicare enrolled "Physician Assistant" in La Verne, California. He graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Healthcare Partners Affiliates Medical Group and his current practice location is
3833 Emerald Ave, La Verne, California. You can reach out to his office (for appointments etc.) via phone at
(909) 593-4531.
Mr Jason Wagner is licensed to practice in California (license number 51951) 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 1457753519.
Provider's Profile
| Full Name | Mr Jason Wagner |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 12 Years |
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| Location | 3833 Emerald Ave, La Verne, California |
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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. |
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Medical Education and Training:
- Mr Jason Wagner graduated from nursing school in 2014
NPI Data:
- NPI Number: 1457753519
- Provider Enumeration Date: 09/19/2014
- Last Update Date: 01/14/2026
Medicare PECOS Information:
- PECOS PAC ID: 3678806692
- Enrollment ID: I20190606001405
Medical Identifiers
Medical identifiers for Mr Jason Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457753519 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 51951 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Healthcare Partners Affiliates Medical Group | 7315842002 | 612 |
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. Mr Jason 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 |
|---|
Mr Jason Wagner, PA-C
Po Box 35380,
Las Vegas, NV 89133-5380
Ph: (702) 579-3203 | Mr Jason Wagner, PA-C
3833 Emerald Ave,
La Verne, CA 91750-2904
Ph: (909) 593-4531 |
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