| Gary Wagoner, | |
|
57 Dora Lane, Greenup, KY 41144 | |
| (606) 473-7333 | |
| (606) 473-7335 |
| Full Name | Gary Wagoner |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 57 Dora Lane, Greenup, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144327610 | NPI | - | NPPES |
| 30610026 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Wagoner, P.o. Box 790, Ashland, KY 41105-0790 Ph: (606) 329-8588 | Gary Wagoner, 57 Dora Lane, Greenup, KY 41144 Ph: (606) 473-7333 |
Molly Bennett, PSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 57 Dora Ln, Greenup, KY 41144 Phone: 606-473-7333 Fax: 606-473-7335 | |
Linda Handy, MED Counselor Medicare: Medicare Enrolled Practice Location: 57 Dora Ln, Greenup, KY 41144 Phone: 606-473-7333 | |
Sarah Bowling-cameron, Counselor Medicare: Not Enrolled in Medicare Practice Location: 57 Dora Ln, Greenup, KY 41144 Phone: 606-473-7333 Fax: 606-473-7335 | |
Melissa Stewart, PSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 57 Dora Ln, Greenup, KY 41144 Phone: 606-473-7333 Fax: 606-473-7335 | |
Michelle Slone, PSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 57 Dora Ln, Greenup, KY 41144 Phone: 606-473-7333 Fax: 606-473-7335 | |
Rita Worthington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 57 Dora Ln, Greenup, KY 41144 Phone: 606-329-8588 |