Mrs Jan Gillespie-wagner, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Greeley, Colorado. She went to University Of Texas Medical Branch At Galveston and graduated in 1985 and has 39 years of diverse experience with area of expertise as Interventional Pain Management. She is a member of the group practice Intermountain Anesthesia Professional Consultants Llp and her current practice location is
1175 58th Ave, Ste 200, Greeley, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 495-0444.
Mrs Jan Gillespie-wagner is licensed to practice in Colorado (license number 26768) 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 1043293921.
Physician's Profile
| Full Name | Mrs Jan Gillespie-wagner |
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| Gender | Female |
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| Speciality | Interventional Pain Management |
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| Experience | 39 Years |
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| Location | 1175 58th Ave, Greeley, Colorado |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Jan Gillespie-wagner attended and graduated from University Of Texas Medical Branch At Galveston in 1985
NPI Data:
- NPI Number: 1043293921
- Provider Enumeration Date: 11/23/2005
- Last Update Date: 11/30/2020
Medicare PECOS Information:
- PECOS PAC ID: 9436100468
- Enrollment ID: I20080825000462
Medical Identifiers
Medical identifiers for Mrs Jan Gillespie-wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043293921 | NPI | - | NPPES |
| 187075800 | Other | | DEPARTMENT OF LABOR |
| 01267681 | Medicaid | CO | |
| 102189300 | Medicaid | WY | |
| GI160818 | Other | CO | ANTHEM BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 26768 (Colorado) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 26768 (Colorado) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Intermountain Anesthesia Professional Consultants Llp | 2860474228 | 5 |
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. Mrs Jan Gillespie-wagner allows following entities to bill medicare on her behalf.
| Entity Name | Intermountain Anesthesia Professional Consultants Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891793022
PECOS PAC ID: 2860474228
Enrollment ID: O20040601001228 |
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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. Mrs Jan Gillespie-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 |
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Mrs Jan Gillespie-wagner, MD
1175 58th Ave, Ste 202,
Greeley, CO 80634-4807
Ph: (970) 495-0300 | Mrs Jan Gillespie-wagner, MD
1175 58th Ave, Ste 200,
Greeley, CO 80634-4807
Ph: (970) 495-0444 |
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