| Jordan M Wagner, PA | |
|
2002 S 11th St, Niles, MI 49120-4074 | |
| (269) 687-0200 | |
| (269) 684-0199 |
| Full Name | Jordan M Wagner |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 2002 S 11th St, Niles, Michigan |
| 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 |
|---|---|---|---|
| 1831383074 | NPI | - | NPPES |
| 1831383074 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5601005116 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakeland Hospital, St Joseph | St joseph, MI | Hospital |
| Lakeland Hospital Watervliet | Watervliet, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeland Community Hospital Watervliet | 7416942750 | 50 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan M Wagner, PA 6416 Deans Hill Rd, Berrien Center, MI 49102-9750 Ph: (269) 471-7741 | Jordan M Wagner, PA 2002 S 11th St, Niles, MI 49120-4074 Ph: (269) 687-0200 |
Rosa Lee Johnson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 Longmeadow Village Dr, Niles, MI 49120 Phone: 269-684-6000 Fax: 269-684-1388 | |
Glenda M Gensolin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 N Saint Joseph Ave Ste C2, Niles, MI 49120 Phone: 269-683-0330 Fax: 269-684-0400 | |
Elizabeth Ann Mcglothlin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2002 S 11th St, Niles, MI 49120 Phone: 269-687-0200 Fax: 269-684-0199 | |
Lindsey Kathryn Kinney, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 4 Longmeadow Village Drive, Niles, MI 49120 Phone: 269-684-6000 Fax: 269-684-1388 | |
James E Strycker, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2002 S 11th St, Niles, MI 49120 Phone: 269-687-0200 Fax: 269-684-0199 | |
John W. Howard, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 Longmeadow Village Dr, Niles, MI 49120 Phone: 269-684-6000 Fax: 269-684-1388 | |
Dr. Charles Andrew Mosimbwa, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 16 E Main St, Niles, MI 49120 Phone: 269-683-7411 |