Dr Thomas Jeffrey Wagner, OD MS in Mystic, CT

Dr Thomas Jeffrey Wagner, OD MS is a medicare enrolled "Optometrist" provider in Mystic, Connecticut. He went to Pennsylvania College Of Optometry and graduated in 1990 and has 34 years of diverse experience with area of expertise as Optometry. His current practice location is 12 Roosevelt Ave, Mystic, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 536-1313.

Dr Thomas Jeffrey Wagner is licensed to practice in Connecticut (license number 002282) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114993789.

Contact Information

	Dr Thomas Jeffrey Wagner, OD MS
	12 Roosevelt Ave, Mystic, CT 06355-2809
	(860) 536-1313
	(860) 572-7770

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Thomas Jeffrey Wagner
Gender	Male
Speciality	Optometry
Experience	34 Years
Location	12 Roosevelt Ave, Mystic, Connecticut
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Thomas Jeffrey Wagner attended and graduated from Pennsylvania College Of Optometry in 1990

NPI Data:

NPI Number: 1114993789
Provider Enumeration Date: 02/24/2006
Last Update Date: 03/24/2020

Medicare PECOS Information:

PECOS PAC ID: 1456450907
Enrollment ID: I20070623000086

Medical Identifiers

Medical identifiers for Dr Thomas Jeffrey Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114993789	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	002282 (Connecticut)	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. Dr Thomas Jeffrey Wagner allows following entities to bill medicare on his behalf.

Provider Name	Optimystic Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1679107411 PECOS PAC ID: 9931520236 Enrollment ID: O20200521002189

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. Dr Thomas Jeffrey 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
Dr Thomas Jeffrey Wagner, OD MS 540 Route 148, Killingworth, CT 06419-1107 Ph: (860) 405-5555	Dr Thomas Jeffrey Wagner, OD MS 12 Roosevelt Ave, Mystic, CT 06355-2809 Ph: (860) 536-1313

Reviews and Comments

Optometrist in Mystic, CT

Mrs. Laura Ann White, OTRL Optometrist Medicare: Not Enrolled in Medicare Practice Location: 23 Clara Dr, Visions Sight And Learning Center, Mystic, CT 06355 Phone: 860-572-4805 Fax: 860-572-4810
Totalvision Eye Health Center, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12 Coogan Blvd, Mystic, CT 06355 Phone: 860-848-8777 Fax: 860-848-3388
Optimystic Llc Optometrist Medicare: Medicare Enrolled Practice Location: 12 Roosevelt Ave, Mystic, CT 06355 Phone: 860-536-1313 Fax: 860-572-7770
Optimystic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5 Water St, C/o Optimystic, Mystic, CT 06355 Phone: 860-536-1313
Visions Sight & Learning Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 23 Clara Drive, Mystic, CT 06355 Phone: 860-572-4805 Fax: 860-572-4810

Dr Thomas Jeffrey Wagner, OD MS - Medicare Optometrist in Mystic, CT