Tanya Marie Wagner, CRNP - Medicare Nurse Practitioner in Pine Grove, PA

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Tanya Marie Wagner, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Pine Grove, Pennsylvania. She graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lehigh Valley Physician Group, Phoenix Rehabilitation And Health Services Inc and her current practice location is 121 S Tulpehocken St, Pine Grove, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 345-2345.

Tanya Marie Wagner is licensed to practice in Pennsylvania (license number SP029206) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1659145480.

Contact Information

Tanya Marie Wagner, CRNP
121 S Tulpehocken St,
Pine Grove, PA 17963-1217
(570) 345-2345
Not Available

Map and Direction




Provider's Profile

Full NameTanya Marie Wagner
GenderFemale
SpecialityNurse Practitioner
Experience2 Years
Location121 S Tulpehocken St, Pine Grove, Pennsylvania
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tanya Marie Wagner graduated from nursing school in 2023
  NPI Data:
  • NPI Number: 1659145480
  • Provider Enumeration Date: 11/13/2023
  • Last Update Date: 02/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7618312430
  • Enrollment ID: I20240301002640

Medical Identifiers

Medical identifiers for Tanya Marie Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659145480NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family SP029206 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Schuylkill Medical Center - South Jackson StreetPottsville, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lehigh Valley Physician Group30724251232138
Phoenix Rehabilitation And Health Services Inc34764642981824

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. Tanya Marie Wagner allows following entities to bill medicare on her behalf.
Entity NameFamily Care Centers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669563037
PECOS PAC ID: 5395649347
Enrollment ID: O20031121000497
Entity NameLehigh Valley Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457309650
PECOS PAC ID: 3072425123
Enrollment ID: O20040227000335
Entity NameSchuylkill Health System Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588603567
PECOS PAC ID: 0840285532
Enrollment ID: O20040420001197

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. Tanya Marie 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
Tanya Marie Wagner, CRNP
2100 Mack Blvd Fl 4,
Allentown, PA 18103-5622

Ph: (484) 884-4500		Tanya Marie Wagner, CRNP
121 S Tulpehocken St,
Pine Grove, PA 17963-1217

Ph: (570) 345-2345

Reviews and Comments


Nurse Practitioner Nurses in Pine Grove, PA

Mr. Debra M Halupa, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 121 N Tulpehocken St, Pine Grove, PA 17963
Phone: 570-345-2345    Fax: 570-345-2350

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.