DYLAN PAUL WAGNER PA NPI 1992058556

NPI Details

Dylan Paul Wagner, PA is a medical physician assistant in Laurel, MS with 14 years of experience. Dylan Paul Wagner, PA NPI is 1992058556. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2313 HIGHWAY 15 N
LAUREL, MS
ZIP 39440-805
Phone: (601) 649-2775
Fax: (601) 649-2686

The NPI 1992058556 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
• Injection of drug or substance under skin or into muscle (HCPCS:96372)
• Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
• Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
• Injection, lincomycin hcl, up to 300 mg (HCPCS:J2010)
• 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc (HCPCS:U0002)
• Injection, tobramycin sulfate, up to 80 mg (HCPCS:J3260)
• Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
• Detection test by nucleic acid for multiple types influenza virus (HCPCS:87502)
• Automated urinalysis test (HCPCS:81003)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• Insertion of needle into vein for collection of blood sample (HCPCS:36415)
• White blood cell count (HCPCS:85004)
• Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
• Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
• Administration of vaccine (HCPCS:90471)
• Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older) (HCPCS:90715)

The enumeration date for this NPI number is 10/19/2012 and was last updated on 7/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.