Carly Marie Wagner, MS, CCC-SLP - Medicare Speech-Language Pathologist in Hudson, WI

Carly Marie Wagner, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Hudson, Wisconsin. Her current practice location is 742 Sterbenz Dr, St Croix Therapy, Hudson, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 386-2128.

Carly Marie Wagner is licensed to practice in Wisconsin (license number 3781) 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 1457692428.

Contact Information

Carly Marie Wagner, MS, CCC-SLP
742 Sterbenz Dr, St Croix Therapy,
Hudson, WI 54016-8327
(715) 386-2128
(715) 386-6119

Map and Direction




Healthcare Provider's Profile

Full NameCarly Marie Wagner
GenderFemale
SpecialitySpeech-language Pathologist
Location742 Sterbenz Dr, Hudson, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457692428
  • Provider Enumeration Date: 03/15/2013
  • Last Update Date: 09/16/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 5890931232
  • Enrollment ID: I20220414001874

Medical Identifiers

Medical identifiers for Carly Marie Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457692428NPI-NPPES
3781OtherWIWISCONSIN LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 3781 (Wisconsin)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. Carly Marie Wagner allows following entities to bill medicare on her behalf.
Provider NameFairview Express Care
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548
Provider NameHealtheast Outpatient Services Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1225382526
PECOS PAC ID: 0941447304
Enrollment ID: O20130503000040
Provider NameOptage Inc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1801517230
PECOS PAC ID: 2264619345
Enrollment ID: O20221206001945

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. Carly 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
Carly Marie Wagner, MS, CCC-SLP
742 Sterbenz Dr, St Croix Therapy,
Hudson, WI 54016-8327

Ph: (715) 386-2128
Carly Marie Wagner, MS, CCC-SLP
742 Sterbenz Dr, St Croix Therapy,
Hudson, WI 54016-8327

Ph: (715) 386-2128

Reviews and Comments


Speech-Language Pathologist in Hudson, WI

Mrs. Brooke Catherine John,
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 742 Sterbenz Dr, Hudson, WI 54016
Phone: 715-386-2128    
Casey Nichole Depauw, SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1123 Briarwood Ct, Hudson, WI 54016
Phone: 517-212-5814    
Mrs. Jeanne Claire Pratt, MST, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 2705 Enloe St, Hudson, WI 54016
Phone: 715-386-2128    Fax: 715-386-6119
Susan Bopray,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 742 Sterbenz Dr, Hudson, WI 54016
Phone: 715-386-2128    Fax: 715-386-6119
Stephanie Lynn Laszczkowski, CCC-SLP
Speech-Language Pathologist
Medicare: Accepting Medicare Assignments
Practice Location: 2705 Enloe St, Hudson, WI 54016
Phone: 715-690-2600    
Samantha Johnson, MS, CCC-SLP
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 2705 Enloe St, Hudson, WI 54016
Phone: 715-690-2600    
Dr. Susan L Halseth, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1011 5th St, Hudson, WI 54016
Phone: 715-381-6963    

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.

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