Hailey Lynn Wagner, PT, DPT | |
8199 Navarre Pkwy Unit 12a, Navarre, FL 32566-6941 | |
(850) 939-1233 | |
(850) 939-5097 |
Full Name | Hailey Lynn Wagner |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 4 Years |
Location | 8199 Navarre Pkwy Unit 12a, Navarre, Florida |
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 |
---|---|---|---|
1821602947 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | PT36009 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Premier Rehab Management Llc | 1951586890 | 10 |
Entity Name | Premier Rehab Management Llc |
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Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Entity Identifiers | NPI Number: 1821014390 PECOS PAC ID: 1951586890 Enrollment ID: O20120418000648 |
Mailing Address | Practice Location Address |
---|---|
Hailey Lynn Wagner, PT, DPT 1100 Circle 75 Pkwy Se Ste 1400, Atlanta, GA 30339-3067 Ph: (678) 981-3543 | Hailey Lynn Wagner, PT, DPT 8199 Navarre Pkwy Unit 12a, Navarre, FL 32566-6941 Ph: (850) 939-1233 |
Deborah N Talmage, DPT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1921 Ortega St, Navarre, FL 32566 Phone: 850-936-8919 | |
James Presley, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 8880 Navarre Pkwy Ste 201, Navarre, FL 32566 Phone: 850-908-3180 Fax: 850-908-3189 | |
Nicholas Paul Goyeneche, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 8880 Navarre Pkwy Ste 201, Navarre, FL 32566 Phone: 850-908-1970 |