Paul Michael Wagner, - Medicare Nurse Practitioner in Sanford, MI

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Paul Michael Wagner, is a medicare enrolled "Nurse Practitioner - Family" in Sanford, Michigan. His current practice location is 515 W Lynthur Ln, Sanford, Michigan. You can reach out to his office (for appointments etc.) via phone at (989) 488-7835.

Paul Michael Wagner is licensed to practice in Michigan (license number 4704345086) 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 1043919996.

Contact Information

Paul Michael Wagner,
515 W Lynthur Ln,
Sanford, MI 48657-9318
(989) 488-7835
Not Available

Map and Direction




Provider's Profile

Full NamePaul Michael Wagner
GenderMale
SpecialityNurse Practitioner - Family
Location515 W Lynthur Ln, Sanford, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043919996
  • Provider Enumeration Date: 03/01/2023
  • Last Update Date: 03/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7315311727
  • Enrollment ID: I20230327002277

Medical Identifiers

Medical identifiers for Paul Michael Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043919996NPI-NPPES
4704345086MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4704345086 (Michigan)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. Paul Michael Wagner allows following entities to bill medicare on his behalf.
Entity NameTheoria Medical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609362375
PECOS PAC ID: 5395098339
Enrollment ID: O20181004002127
Entity NameComplexcare Medical Group Midwest H PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457144933
PECOS PAC ID: 0143737148
Enrollment ID: O20250815000157

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. Paul 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
Paul Michael Wagner,
515 W Lynthur Ln,
Sanford, MI 48657-9318

Ph: (989) 488-7835		Paul Michael Wagner,
515 W Lynthur Ln,
Sanford, MI 48657-9318

Ph: (989) 488-7835

Reviews and Comments


Nurse Practitioner Nurses in Sanford, MI

Stacey Elizabeth Ugartechea, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 40 W Saginaw Rd, Sanford, MI 48657
Phone: 989-687-9940    Fax: 989-687-9945
Mary Theresia Bosman, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1180 W Nielson Rd, Sanford, MI 48657
Phone: 989-687-7196    

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.