| Brandon Wagner, | |
|
335 Glessner Ave, Mansfield, OH 44903-2269 | |
| (419) 528-8328 | |
| Not Available |
| Full Name | Brandon Wagner |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 335 Glessner Ave, Mansfield, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578244760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0020956 (Ohio) | Primary |
| Entity Name | Anesthesia Associates Of Mansfield, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407947815 PECOS PAC ID: 3870486624 Enrollment ID: O20040205000222 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Wagner, 799 Lexington Ave, Mansfield, OH 44907-1906 Ph: (419) 756-5133 | Brandon Wagner, 335 Glessner Ave, Mansfield, OH 44903-2269 Ph: (419) 528-8328 |
Ms. Esther Kay Baumann, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 799 Lexington Ave, Mansfield, OH 44907 Phone: 419-756-5133 Fax: 419-774-9707 | |
Mrs. Amy Joann Secor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 799 Lexington Ave, Mansfield, OH 44907 Phone: 419-756-5133 Fax: 419-774-9707 | |
Ms. Bethany A Biddle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 799 Lexington Ave, Mansfield, OH 44907 Phone: 419-756-5133 | |
Michael T Platner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 335 Glessner Ave, Mansfield, OH 44903 Phone: 419-526-8768 Fax: 419-522-4697 | |
Mrs. Heather M Strickling, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 799 Lexington Ave, Mansfield, OH 44907 Phone: 419-756-5133 Fax: 419-774-9707 | |
Garrett Luke Bennett, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 799 Lexington Ave, Mansfield, OH 44907 Phone: 419-756-5133 Fax: 419-744-9707 | |
Mrs. Kimberly Frederick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 799 Lexington Ave, Mansfield, OH 44907 Phone: 419-756-5133 Fax: 419-774-9707 |