Lynn K Wagner, MD is a medicare enrolled "Emergency Medicine" physician in De Pere, Wisconsin. Her current practice location is
106 N Wisconsin St, De Pere, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 327-7056.
Lynn K Wagner is licensed to practice in Wisconsin (license number 49400) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1164458899.
Physician's Profile
Full Name | Lynn K Wagner |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 106 N Wisconsin St, De Pere, Wisconsin |
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Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Lynn K Wagner attended and graduated from in
NPI Data:
- NPI Number: 1164458899
- Provider Enumeration Date: 06/24/2006
- Last Update Date: 05/22/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Lynn K Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164458899 | NPI | - | NPPES |
104894116 | Medicaid | MI | |
34870800 | Medicaid | WI | |
P00355797 | Other | WI | RAILROAD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | A89772 (California) | Secondary |
207P00000X | Emergency Medicine | 49400 (Wisconsin) | Primary |
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. Lynn K 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 Address | Practice Location Address |
Lynn K Wagner, MD 164 N Broadway, Green Bay, WI 54303-2728 Ph: (920) 490-9046 | Lynn K Wagner, MD 106 N Wisconsin St, De Pere, WI 54115 Ph: (920) 327-7056 |
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