Dr Michelle Diane Wagner, MD - Medicare Pediatrics in Richmond, VA

Dr Michelle Diane Wagner, MD is a medicare enrolled "Pediatrics" physician in Richmond, Virginia. Her current practice location is 1000 E Broad St, Richmond, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 828-2467.

Dr Michelle Diane Wagner is licensed to practice in Virginia (license number 0101272471) 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 1326539180.

Contact Information

Dr Michelle Diane Wagner, MD
1000 E Broad St,
Richmond, VA 23219-1930
(804) 828-2467
Not Available



Physician's Profile

Full NameDr Michelle Diane Wagner
GenderFemale
SpecialityPediatrics
Location1000 E Broad St, Richmond, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326539180
  • Provider Enumeration Date: 05/28/2018
  • Last Update Date: 02/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6608266218
  • Enrollment ID: I20211213002860

Medical Identifiers

Medical identifiers for Dr Michelle Diane Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326539180NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 0101272471 (Virginia)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. Dr Michelle Diane Wagner allows following entities to bill medicare on her behalf.
Entity NameMcv Associated Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710959457
PECOS PAC ID: 4385542117
Enrollment ID: O20031230000559

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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. Dr Michelle Diane 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
Dr Michelle Diane Wagner, MD
1000 E Broad St,
Richmond, VA 23219-1930

Ph: (804) 828-2467
Dr Michelle Diane Wagner, MD
1000 E Broad St,
Richmond, VA 23219-1930

Ph: (804) 828-2467

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Pediatrics Doctors in Richmond, VA

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Phone: 804-828-9300    
Rhoda B Mahoney, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 7113 Three Chopt Rd, Suite 101, Richmond, VA 23226
Phone: 804-282-4205    Fax: 804-673-6432
Dr. Tracy Stroma Mcneish, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 9900 Independence Park Dr, Suite 100, Richmond, VA 23233
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Dr. Burak Gumuscu, MD, PHD
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Phone: 804-281-8182    
Kathryn B Russell, M.D.
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Phone: 804-282-4205    Fax: 804-673-6432
Jan N. Dalby, NP
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Medicare: Not Enrolled in Medicare
Practice Location: 7113 Three Chopt Rd, Suite 101, Richmond, VA 23226
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