Courtney Wagner, DPT in St Augustine, FL - Medicare Physical Therapist Provider

Courtney Wagner, DPT is a medicare enrolled "Physical Therapist" provider in St Augustine, Florida. Her current practice location is 4320 A1a S Ste 7, St Augustine, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 679-3449.

Courtney Wagner is licensed to practice in Florida (license number 39352) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104546399.

Contact Information

	Courtney Wagner, DPT
	4320 A1a S Ste 7, St Augustine, FL 32080-7436
	(904) 679-3449
	(904) 679-3436

Map and Direction

Healthcare Provider's Profile

Full Name	Courtney Wagner
Gender	Female
Speciality	Physical Therapist
Location	4320 A1a S Ste 7, St Augustine, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104546399
Provider Enumeration Date: 08/30/2022
Last Update Date: 08/30/2022

Medicare PECOS Information:

PECOS PAC ID: 2264818574
Enrollment ID: I20221010001462

Medical Identifiers

Medical identifiers for Courtney Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104546399	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	39352 (Florida)	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. Courtney Wagner allows following entities to bill medicare on her behalf.

Provider Name	Saint Augustine Rehabilitation Specialists Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1548407521 PECOS PAC ID: 8426107293 Enrollment ID: O20090527000537

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. Courtney 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
Courtney Wagner, DPT 105 Mariner Health Way Ste 213, St Augustine, FL 32086-3251 Ph: (904) 217-4259	Courtney Wagner, DPT 4320 A1a S Ste 7, St Augustine, FL 32080-7436 Ph: (904) 679-3449

Reviews and Comments

Physical Therapist in St Augustine, FL

Angela Marie Cicchino, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 University Blvd, St Augustine, FL 32086 Phone: 904-829-3411 Fax: 904-829-3412
Mr. Stephen A Vighetti, PT, MTC, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4020 Grande Vista Blvd, #114, St Augustine, FL 32084 Phone: 904-315-3416
Dr. David Anthony Eldridge, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Orthopaedic Pl, St Augustine, FL 32086 Phone: 904-825-0540 Fax: 904-825-2490
Erica J Kiernan, PT/OT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Mariner Health Way, Ste 213, St Augustine, FL 32086 Phone: 904-217-4259 Fax: 904-217-4251
Jerry Worley, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 245 Wildwood Dr, # 144, St Augustine, FL 32086 Phone: 904-687-9880
Joseph R Edwards, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 968 Espinado Avenue, St Augustine, FL 32086 Phone: 954-805-0655
Kaleb Griffel, DPT PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1 University Blvd, St Augustine, FL 32086 Phone: 904-829-3411 Fax: 904-829-3412

Courtney Wagner, DPT - Medicare Physical Therapist in St Augustine, FL