Amanda Ellen Wagner, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Stayton, Oregon. Her current practice location is
1373 N 10th Ave, Stayton, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 769-9522.
Amanda Ellen Wagner is licensed to practice in Oregon (license number MD215626) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235457359.
Physician's Profile
Full Name | Amanda Ellen Wagner |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 1373 N 10th Ave, Stayton, Oregon |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Amanda Ellen Wagner attended and graduated from in
NPI Data:
- NPI Number: 1235457359
- Provider Enumeration Date: 05/13/2010
- Last Update Date: 10/17/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Amanda Ellen Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235457359 | NPI | - | NPPES |
7100131400 | Medicaid | KY | |
P00947909 | Other | KY | RR MEDICARE |
500822477 | Medicaid | OR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | 43867 (Kentucky) | Secondary |
207V00000X | Obstetrics & Gynecology | MD215626 (Oregon) | Primary |
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. Amanda Ellen 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 Address | Practice Location Address |
Amanda Ellen Wagner, MD Po Box 577, Stayton, OR 97383-0577 Ph: (503) 769-2175 | Amanda Ellen Wagner, MD 1373 N 10th Ave, Stayton, OR 97383-2037 Ph: (503) 769-9522 |
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