Stacy Smith Wagner, MPT in New Haven, CT - Medicare Physical Therapy Provider

Stacy Smith Wagner, MPT is a medicare enrolled "Physical Therapist" provider in New Haven, Connecticut. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Orthopaedic Surgeons Pc and her current practice location is 1481 Chapel St, New Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 776-9110.

Stacy Smith Wagner is licensed to practice in Connecticut (license number 9052) 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 1801188750.

Contact Information

	Stacy Smith Wagner, MPT
	1481 Chapel St, New Haven, CT 06511
	(203) 776-9110
	(203) 777-5879

Map and Direction

Healthcare Provider's Profile

Full Name	Stacy Smith Wagner
Gender	Female
Speciality	Physical Therapy
Experience	25 Years
Location	1481 Chapel St, New Haven, Connecticut
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stacy Smith Wagner graduated from medical school in 1999

NPI Data:

NPI Number: 1801188750
Provider Enumeration Date: 05/11/2011
Last Update Date: 12/18/2023

Medicare PECOS Information:

PECOS PAC ID: 8729265053
Enrollment ID: I20110614000022

Medical Identifiers

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

Identifier	Type	State	Issuer
1801188750	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	9052 (Connecticut)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Orthopaedic Surgeons Pc	1052597002	3

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. Stacy Smith Wagner allows following entities to bill medicare on her behalf.

Provider Name	Orthopaedic Surgeons Pc
Provider Type	Part B Supplier - Other Medical Care Group
Provider Identifiers	NPI Number: 1801002696 PECOS PAC ID: 1052597002 Enrollment ID: O20110510000048

Provider Name	Ptsma Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1033773759 PECOS PAC ID: 7911800180 Enrollment ID: O20190712000494

Provider Name	Madison Rehabilitation Center Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1750350245 PECOS PAC ID: 8628051299 Enrollment ID: O20210119000401

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. Stacy Smith 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
Stacy Smith Wagner, MPT 1481 Chapel St, New Haven, CT 06511-4305 Ph: (203) 776-9110	Stacy Smith Wagner, MPT 1481 Chapel St, New Haven, CT 06511 Ph: (203) 776-9110

Reviews and Comments

Physical Therapist in New Haven, CT

Dr. Shannon Mellon, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 York St, New Haven, CT 06510 Phone: 860-302-2686
Lauren Mollow, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1354 Chapel St, New Haven, CT 06511 Phone: 203-867-8374 Fax: 203-867-8366
Mr. Marc I Robertson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 339 Eastern St, Suite 317, New Haven, CT 06513 Phone: 203-468-7002 Fax: 203-468-7078
Dr. Emily Rose Guedes, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 230 George St, New Haven, CT 06510 Phone: 203-498-5980 Fax: 203-498-5999
Kimberly Ann Reilly, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Chapel St, New Haven, CT 06511 Phone: 203-789-3441
Vladimir Kovac, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1354 Chapel St, New Haven, CT 06511 Phone: 203-867-8374 Fax: 203-867-8366
Margaret Thomas, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 230 George St, New Haven, CT 06510 Phone: 203-498-5980 Fax: 203-498-5999

Stacy Smith Wagner, MPT - Medicare Physical Therapist in New Haven, CT