Kristen M Wagner, DO | |
3443 Farr Rd, Fruitport, MI 49415-8779 | |
(231) 672-2900 | |
(231) 672-2901 |
Full Name | Kristen M Wagner |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 12 Years |
Location | 3443 Farr Rd, Fruitport, 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 |
---|---|---|---|
1598017048 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5101020125 (Michigan) | Primary |
207V00000X | Obstetrics & Gynecology | 5101020125 (Michigan) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Mayo Regional Hospital | Dover foxcroft, ME | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mrh Corp | 1355770892 | 31 |
Entity Name | Mrh Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558319103 PECOS PAC ID: 1355770892 Enrollment ID: O20200803002384 |
Mailing Address | Practice 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 |
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 |