Mr Shawn Michael Wagner, PHYSICIAN ASSISTANT - Medicare Physician Assistant in Windsor, NC

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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.

Contact Information

Mr Shawn Michael Wagner, PHYSICIAN ASSISTANT
1403 S King St,
Windsor, NC 27983-9666
(252) 794-6785
(252) 794-6771

Map and Direction




Provider's Profile

Full NameMr Shawn Michael Wagner
GenderMale
SpecialityPhysician Assistant
Location1403 S King St, Windsor, North Carolina
Accepts Medicare AssignmentsMedicare 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: 07/13/2026
  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.
IdentifierTypeStateIssuer
1538127337NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 101936 (North Carolina)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. Mr Shawn Michael Wagner allows following entities to bill medicare on his behalf.
Entity NameEast Carolina University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972551919
PECOS PAC ID: 0244143246
Enrollment ID: O20031106000400
Entity NameEast Carolina Health-bertie
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578541660
PECOS PAC ID: 1355251661
Enrollment ID: O20041112000143
Entity NameVidant Medical Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477648731
PECOS PAC ID: 0345343893
Enrollment ID: O20070321000445
Entity NameNC Emergency Physician Services PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518374800
PECOS PAC ID: 5890916514
Enrollment ID: O20141022001802

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 AddressPractice 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

Reviews and Comments


Physician Assistant Nurses in Windsor, NC

Mr. Peter Beck Woglom, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 218 Cooper Hill Rd, Windsor, NC 27983
Phone: 252-794-8600    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.