Mr Shawn Michael Wagner, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant" in Windsor, North Carolina. His current practice location is
1403 S King St, Windsor, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(252) 794-6785.
Mr Shawn Michael Wagner is licensed to practice in North Carolina (license number 101936) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1538127337.
Provider's Profile
| Full Name | Mr Shawn Michael Wagner |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 1403 S King St, Windsor, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1538127337
- Provider Enumeration Date: 05/02/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5395645378
- Enrollment ID: I20040113000702
Medical Identifiers
Medical identifiers for Mr Shawn Michael Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1538127337 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 101936 (North Carolina) | 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. Mr Shawn Michael 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 Shawn Michael Wagner, PHYSICIAN ASSISTANT 1403 S King St, Windsor, NC 27983-9666 Ph: (252) 794-6785 | Mr Shawn Michael Wagner, PHYSICIAN ASSISTANT 1403 S King St, Windsor, NC 27983-9666 Ph: (252) 794-6785 |
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