Kristen M Wagner, DO - Medicare Family Practice in Fruitport, MI

Kristen M Wagner, DO is a medicare enrolled "Family Medicine" physician in Fruitport, Michigan. She went to University Of New England, College Of Osteo Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Mrh Corp and her current practice location is 3443 Farr Rd, Fruitport, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 672-2900.

Kristen M Wagner is licensed to practice in Michigan (license number 5101020125) 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 1598017048.

Contact Information

Kristen M Wagner, DO
3443 Farr Rd,
Fruitport, MI 49415-8779
(231) 672-2900
(231) 672-2901

Map and Direction




Physician's Profile

Full NameKristen M Wagner
GenderFemale
SpecialityFamily Practice
Experience12 Years
Location3443 Farr Rd, Fruitport, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kristen M Wagner attended and graduated from University Of New England, College Of Osteo Medicine in 2012
  NPI Data:
  • NPI Number: 1598017048
  • Provider Enumeration Date: 10/09/2012
  • Last Update Date: 12/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8820395247
  • Enrollment ID: I20170313000133

Medical Identifiers

Medical identifiers for Kristen M Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598017048NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 5101020125 (Michigan)Primary
207V00000XObstetrics & Gynecology 5101020125 (Michigan)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mayo Regional HospitalDover foxcroft, MEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mrh Corp135577089231

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. Kristen M Wagner allows following entities to bill medicare on her behalf.
Entity NameMrh Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558319103
PECOS PAC ID: 1355770892
Enrollment ID: O20200803002384

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. Kristen M 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 AddressPractice Location Address
Kristen M Wagner, DO
1675 Leahy St, Suite 315a,
Muskegon, MI 49442-5500

Ph: (231) 727-5209
Kristen M Wagner, DO
3443 Farr Rd,
Fruitport, MI 49415-8779

Ph: (231) 672-2900

Reviews and Comments


Family Medicine Doctors in Fruitport, MI

Chase Burton,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3443 Farr Rd, Fruitport, MI 49415
Phone: 231-672-8284    
Dr. Kristen Kay Woods, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3443 Farr Rd, Fruitport, MI 49415
Phone: 231-672-2900    Fax: 231-672-2901
Nathan Dills, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3443 Farr Rd, Fruitport, MI 49415
Phone: 231-672-2900    
Fizza Agha, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3443 Farr Rd, Fruitport, MI 49415
Phone: 231-727-5209    
Lauren Mcgraw, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3443 Farr Rd, Fruitport, MI 49415
Phone: 231-672-2900    
Kristina Powell,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3443 Farr Rd, Fruitport, MI 49415
Phone: 231-672-2900    
Dominic Klosowski,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3443 Farr Rd, Fruitport, MI 49415
Phone: 231-672-2900    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.