Dr Randi R Wagner, DO | |
10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | |
(303) 338-4545 | |
Not Available |
Full Name | Dr Randi R Wagner |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 35 Years |
Location | 10240 Park Meadows Dr, Lone Tree, Colorado |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760477897 | NPI | - | NPPES |
01330984 | Medicaid | CO | |
029145 | Other | CO | KAISER COMMERCIAL NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 33098 (Colorado) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Colorado Permanente Medical Group Pc | 1254238454 | 1156 |
Entity Name | Colorado Permanente Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760599724 PECOS PAC ID: 1254238454 Enrollment ID: O20031216000640 |
Entity Name | Kremmling Memorial Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619962321 PECOS PAC ID: 7517871544 Enrollment ID: O20040312001110 |
Mailing Address | Practice Location Address |
---|---|
Dr Randi R Wagner, DO 10350 E Dakota Ave, Denver, CO 80247-1314 Ph: () - | Dr Randi R Wagner, DO 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 Ph: (303) 338-4545 |
Nicole Bonato, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 9548 Park Meadows Dr, Lone Tree, CO 80124 Phone: 720-848-0000 | |
Dr. John P. Clark, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10240 Park Meadows Dr, Lone Tree, CO 80124 Phone: 303-338-4545 | |
Mia Lynch, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8080 Park Meadows Dr Ste 100, Lone Tree, CO 80124 Phone: 303-346-8828 | |
Rebecca Clark Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9540 Park Meadows Dr, Lone Tree, CO 80124 Phone: 720-848-9300 | |
Dr. Dennis Lee Furr, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10455 Park Meadows Drive, Building 1 Suite 1, Lone Tree, CO 80124 Phone: 303-708-0246 Fax: 303-708-0247 | |
Dr. Susan E Miranda, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10103 Ridgegate Pkwy Ste 213, Lone Tree, CO 80124 Phone: 303-945-3139 Fax: 719-280-6111 | |
Christine Phillips, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9540 Park Meadows Dr, Lone Tree, CO 80124 Phone: 720-848-0000 |