| Carson Lee Wagner, | |
|
1071 Calla Lily Cv, Oviedo, FL 32766-0003 | |
| (407) 409-1616 | |
| Not Available |
| Full Name | Carson Lee Wagner |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 1071 Calla Lily Cv, Oviedo, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063060796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9112577 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Oviedo Medical Center | Oviedo, FL | Hospital |
| Adventhealth Orlando | Orlando, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospital Medicine Services Of Fl, Llc | 9234596743 | 435 |
| Mailing Address | Practice Location Address |
|---|---|
| Carson Lee Wagner, 1071 Calla Lily Cv, Oviedo, FL 32766-0003 Ph: (407) 409-1616 | Carson Lee Wagner, 1071 Calla Lily Cv, Oviedo, FL 32766-0003 Ph: (407) 409-1616 |
Kimmai Magali Lonsdorfer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 968 W Mitchell Hammock Rd Ste 1050, Oviedo, FL 32765 Phone: 407-890-1890 | |
Kaitlyn De Leon, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2984 Alafaya Trl Ste 2020, Oviedo, FL 32765 Phone: 407-278-2401 | |
Yeny Bannon, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2871 Pewter Mist Ct, Oviedo, FL 32765 Phone: 407-437-3746 | |
Vincent Polich, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1410 W Broadway St Ste 205, Oviedo, FL 32765 Phone: 407-359-2100 Fax: 407-359-5445 | |
Allie Marie Ward, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 8300 Red Bug Lake Rd, Oviedo, FL 32765 Phone: 407-890-2273 | |
Leeza Negrillo, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7560 Red Bug Lake Rd, Oviedo, FL 32765 Phone: 407-278-2401 |