Debra Ann Wagner, MD - Medicare Internal Medicine in Simpsonville, SC

Debra Ann Wagner, MD is a medicare enrolled "Internal Medicine" physician in Simpsonville, South Carolina. Her current practice location is 727 Se Main St, Suite 300, Simpsonville, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 522-1170.

Debra Ann Wagner is licensed to practice in South Carolina (license number 32275) 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 1013989623.

Contact Information

Debra Ann Wagner, MD
727 Se Main St, Suite 300,
Simpsonville, SC 29681-3247
(864) 522-1170
Not Available



Physician's Profile

Full NameDebra Ann Wagner
GenderFemale
SpecialityInternal Medicine
Location727 Se Main St, Simpsonville, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013989623
  • Provider Enumeration Date: 02/07/2006
  • Last Update Date: 12/14/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4183669294
  • Enrollment ID: I20170823000165

Medical Identifiers

Medical identifiers for Debra Ann Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013989623NPI-NPPES
89139NWMedicaidNC
322751MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 200500395 (North Carolina)Secondary
207R00000XInternal Medicine 32275 (South Carolina)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. Debra Ann Wagner allows following entities to bill medicare on her behalf.
Entity NameAcv Community Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174630693
PECOS PAC ID: 3476462078
Enrollment ID: O20040402000091

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Entity NameFlorida Medical Practice Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326386293
PECOS PAC ID: 3971608993
Enrollment ID: O20070420000065

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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. Debra Ann 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
Debra Ann Wagner, MD
1 Independence Pt, Suite 212,
Greenville, SC 29615-4545

Ph: (864) 797-6044
Debra Ann Wagner, MD
727 Se Main St, Suite 300,
Simpsonville, SC 29681-3247

Ph: (864) 522-1170

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Internal Medicine Doctors in Simpsonville, SC

Sarah Beth Wells, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 727 Se Main St Ste 320, Simpsonville, SC 29681
Phone: 864-454-6440    Fax: 864-454-6445
Krishna Kumar Pudi, MD PA
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 110 Hospital Dr # A, Simpsonville, SC 29681
Phone: 864-963-9090    Fax: 864-962-0610
Dr. James Coan Mcalpine Iii,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 312 Harrison Bridge Rd, Simpsonville, SC 29680
Phone: 864-603-5600    Fax: 864-603-5601
Edna Katherine Gantt Gettys,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 727 Se Main St, Suite 300, Simpsonville, SC 29681
Phone: 864-522-1170    Fax: 864-522-1175
Mr. Marcus E Blackstone, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 404 Se Main St, Simpsonville, SC 29681
Phone: 864-963-8002    Fax: 864-963-2742
Leon Buffaloe Jr., M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 114b Hospital Dr, Simpsonville, SC 29681
Phone: 864-757-5177    Fax: 864-757-5178

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