John M Wagner, MS - Medicare Couples Therapy in Boulder, CO

John M Wagner, MS is a medicare enrolled "Marriage & Family Therapist" provider in Boulder, Colorado. His current practice location is 580 Mohawk Dr, Boulder, Colorado. You can reach out to his office (for appointments etc.) via phone at (303) 338-4545.

John M Wagner is licensed to practice in Colorado (license number MFT.0001333) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861802498.

Contact Information

John M Wagner, MS
580 Mohawk Dr,
Boulder, CO 80303-3712
(303) 338-4545
Not Available

Healthcare Provider's Profile

Full NameJohn M Wagner
GenderMale
SpecialityMarriage & Family Therapist
Location580 Mohawk Dr, Boulder, Colorado
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861802498
  • Provider Enumeration Date: 05/05/2014
  • Last Update Date: 06/11/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2264875582
  • Enrollment ID: I20240202003541

Medical Identifiers

Medical identifiers for John M Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861802498NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist MFT.0001333 (Colorado)Primary
101YM0800XCounselor - Mental Health NLC.0103614 (Colorado)Secondary

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. John M Wagner allows following entities to bill medicare on his behalf.
Entity NameColorado Permanente Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760599724
PECOS PAC ID: 1254238454
Enrollment ID: O20031216000640

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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. John 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
John M Wagner, MS
10350 E Dakota Ave,
Denver, CO 80247-1314

Ph: () -
John M Wagner, MS
580 Mohawk Dr,
Boulder, CO 80303-3712

Ph: (303) 338-4545

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Marriage & Family Therapist in Boulder, CO

Coco Caporal,
Couples Therapy
Medicare: Medicare Enrolled
Practice Location: 2975 Valmont Rd Ste 300, Boulder, CO 80301
Phone: 303-415-1025    
Ms. Miriam F Schiff, LMFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 5412 Idylwild Trl, Suite 102, Boulder, CO 80301
Phone: 303-619-3744    
Tori Dibona,
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 1942 Broadway Ste 314c, Boulder, CO 80302
Phone: 702-931-4383    
Trina Renee Brown, MFTI
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 2825 Marine St Ste 203, Boulder, CO 80303
Phone: 720-605-6605    
Katherine Hunt Austin Iv,
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 2305 Canyon Blvd Ste 101, Boulder, CO 80302
Phone: 303-917-5418    
Desirae Parker,
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 1333 Iris Ave, Boulder, CO 80304
Phone: 303-413-6329    
Patti Sue Swope, LMFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 3445 Penrose Place, Suite 250, Boulder, CO 80301
Phone: 303-247-0121    Fax: 303-447-6453

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