Holly M Wagner, MPT - Medicare Physical Therapist in Orange, CA

Holly M Wagner, MPT is a medicare enrolled "Physical Therapist" provider in Orange, California. Her current practice location is 1178 N Tustin St, Orange, California. You can reach out to her office (for appointments etc.) via phone at (714) 289-7790.

Holly M Wagner is licensed to practice in California (license number 25502) 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 1285767350.

Contact Information

Holly M Wagner, MPT
1178 N Tustin St,
Orange, CA 92867-6006
(714) 289-7790
(714) 289-7786

Map and Direction




Healthcare Provider's Profile

Full NameHolly M Wagner
GenderFemale
SpecialityPhysical Therapist
Location1178 N Tustin St, Orange, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285767350
  • Provider Enumeration Date: 03/14/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7517938509
  • Enrollment ID: I20040803001532

Medical Identifiers

Medical identifiers for Holly M Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285767350NPI-NPPES
1154327922OtherCATYPE TWO NPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 25502 (California)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. Holly M Wagner allows following entities to bill medicare on her behalf.
Provider NameHairston & Daley Physical Therapy A Professional Corporation
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1154327922
PECOS PAC ID: 5294706297
Enrollment ID: O20061102000386

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. Holly M 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
Holly M Wagner, MPT
1178 N Tustin St,
Orange, CA 92867-6006

Ph: (714) 289-7790
Holly M Wagner, MPT
1178 N Tustin St,
Orange, CA 92867-6006

Ph: (714) 289-7790

Reviews and Comments


Physical Therapist in Orange, CA

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Practice Location: 1178 N Tustin St, Orange, CA 92867
Phone: 714-289-7790    Fax: 714-289-7786
Cherie Brown, M.S.P.T.
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Ms. Karen Rosen, PT
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Phone: 714-458-8558    Fax: 714-637-0743
Dr. Rebecca Marie Farahat, DPT
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Phone: 714-501-7028    

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).

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