Christina Ruth Wagner, MD is a medicare enrolled "Pediatrics" physician in Carmi, Illinois. She graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Green Valley Emergency Physicians, Llc and her current practice location is
103 Commerce St, Carmi, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 842-4470.
Christina Ruth Wagner is licensed to practice in Illinois (license number 036107740) 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 1518957273.
Physician's Profile
Full Name | Christina Ruth Wagner |
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Gender | Female |
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Speciality | Emergency Medicine |
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Experience | 29 Years |
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Location | 103 Commerce St, Carmi, Illinois |
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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:
- Christina Ruth Wagner graduated from medical school in 1995
NPI Data:
- NPI Number: 1518957273
- Provider Enumeration Date: 10/25/2005
- Last Update Date: 05/28/2015
Medicare PECOS Information:
- PECOS PAC ID: 8123926110
- Enrollment ID: I20191231001382
Medical Identifiers
Medical identifiers for Christina Ruth Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518957273 | NPI | - | NPPES |
036107740 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 036107740 (Illinois) | Primary |
207PE0004X | Emergency Medicine - Emergency Medical Services | 036107740 (Illinois) | Secondary |
207P00000X | Emergency Medicine | 01073102A (Indiana) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Green Valley Emergency Physicians, Llc | 4385035534 | 9 |
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. Christina Ruth Wagner allows following entities to bill medicare on her behalf.
Entity Name | Racers Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811221492 PECOS PAC ID: 6507908985 Enrollment ID: O20100122000641 |
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Entity Name | App Of Kentucky Ed, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497157341 PECOS PAC ID: 0749502862 Enrollment ID: O20141201000389 |
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Entity Name | Green Valley Emergency Physicians, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720755739 PECOS PAC ID: 4385035534 Enrollment ID: O20230926000510 |
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Entity Name | Fep Of Kentucky Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770266553 PECOS PAC ID: 8123473626 Enrollment ID: O20231018000380 |
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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. Christina Ruth 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 |
Christina Ruth Wagner, MD 209 Nw 11th St, Fairfield, IL 62837-1218 Ph: (618) 842-4470 | Christina Ruth Wagner, MD 103 Commerce St, Carmi, IL 62821-2223 Ph: (618) 842-4470 |
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