Lana K Wagner, MD | |
4100 High Resort Blvd Se, Pmg Rio Rancho High Resort 4100, Rio Rancho, NM 87124-5901 | |
(505) 462-8520 | |
(505) 462-8510 |
Full Name | Lana K Wagner |
---|---|
Gender | Female |
Speciality | Sleep Medicine |
Experience | 26 Years |
Location | 4100 High Resort Blvd Se, Rio Rancho, New Mexico |
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 |
---|---|---|---|
1003890112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2000303 (New Mexico) | Secondary |
207QS1201X | Family Medicine - Sleep Medicine | 2000-303 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Presbyterian Hospital | Albuquerque, NM | Hospital |
Presbyterian Santa Fe Medical Center | Santa fe, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Presbyterian Healthcare Services | 9234041708 | 1119 |
Entity Name | Presbyterian Healthcare Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
Mailing Address | Practice Location Address |
---|---|
Lana K Wagner, MD Po Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-6770 | Lana K Wagner, MD 4100 High Resort Blvd Se, Pmg Rio Rancho High Resort 4100, Rio Rancho, NM 87124-5901 Ph: (505) 462-8520 |
Jasmine Valerie Gutierrez, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4005 High Resort Blvd Se, Rio Rancho, NM 87124 Phone: 505-462-6000 | |
Dr. Santiago Marinez Ayala, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Grande Blvd Se, Suite A, Rio Rancho, NM 87124 Phone: 505-896-7100 | |
Mrs. Christina Marie Hannah, PA Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 184 Unser Blvd Ne, Rio Rancho, NM 87124 Phone: 505-896-0928 | |
Paul Afek, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3001 Broadmoor Blvd Ne, Rio Rancho, NM 87144 Phone: 505-994-7397 | |
Ethan A Prairie, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4005 High Resort Blvd Se, Rio Rancho, NM 87124 Phone: 505-462-6000 | |
J. Dayton Voorhees, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4005 High Resort Blvd Se, Pmg High Resort 4005, Rio Rancho, NM 87124 Phone: 505-462-6000 Fax: 505-462-6006 |