Mr William Wagner, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Hillsborough, North Carolina. His current practice location is
1710 Cheyenne Dr, Hillsborough, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(919) 619-4998.
Mr William Wagner is licensed to practice in North Carolina (license number 109814) 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 1558384875.
Provider's Profile
| Full Name | Mr William Wagner |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 1710 Cheyenne Dr, Hillsborough, 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: 1558384875
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 02/17/2011
Medicare PECOS Information:
- PECOS PAC ID: 0648293324
- Enrollment ID: I20060109000555
Medical Identifiers
Medical identifiers for Mr William Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1558384875 | NPI | - | NPPES |
| 8050655 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367500000X | Nurse Anesthetist, Certified Registered | 109814 (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 William Wagner allows following entities to bill medicare on his behalf.
| Entity Name | American Anesthesiology Of North Carolina Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053677195 PECOS PAC ID: 2961316450 Enrollment ID: O20031229000004 |
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| Entity Name | Medstream Anesthesia Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001209 |
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| Entity Name | Chs Anesthesia Services Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346649415 PECOS PAC ID: 5799007324 Enrollment ID: O20141209001856 |
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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 William 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 William Wagner, CRNA 1710 Cheyenne Dr, Hillsborough, NC 27278-9500 Ph: (919) 619-4998 | Mr William Wagner, CRNA 1710 Cheyenne Dr, Hillsborough, NC 27278-9500 Ph: (919) 619-4998 |
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