| Elizabeth A Wagner, NP | |
|
744 S Webster Ave, Green Bay, WI 54301-3505 | |
| (920) 433-3640 | |
| (920) 445-7289 |
| Full Name | Elizabeth A Wagner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 744 S Webster Ave, Green Bay, Wisconsin |
| 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 |
|---|---|---|---|
| 1760793046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4106-33 (Wisconsin) | Primary |
| 163W00000X | Registered Nurse | 125165-30 (Wisconsin) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bellin Memorial Hospital | Green bay, WI | Hospital |
| Bellin Health Oconto Hospital | Oconto, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oconto Hospital And Medical Center Inc | 2163461781 | 193 |
| Bellin Memorial Hospital Inc | 8820900749 | 533 |
| Entity Name | Bellin Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089 |
| Entity Name | Oconto Hospital & Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356373302 PECOS PAC ID: 2163461781 Enrollment ID: O20050713000836 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth A Wagner, NP 744 S Webster Ave, Green Bay, WI 54301-3505 Ph: (920) 433-3640 | Elizabeth A Wagner, NP 744 S Webster Ave, Green Bay, WI 54301-3505 Ph: (920) 433-3640 |
Elizabeth Ostoja, MSN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1976 Lime Kiln Rd, Green Bay, WI 54311 Phone: 920-445-7377 Fax: 920-592-9479 | |
Tammy Ann Motquin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-445-7226 | |
Mary C Fox, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3237 Voyager Dr, Green Bay, WI 54311 Phone: 920-468-8288 | |
Mrs. Kristen Kay Lampe, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 720 S Van Buren St, Suite 201, Green Bay, WI 54301 Phone: 920-433-7488 | |
Nicole L Lowe, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2253 W Mason St, Green Bay, WI 54303 Phone: 920-327-7300 Fax: 920-327-7348 | |
Mr. Cristian A Vasiliev, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 923 Eliza St, Green Bay, WI 54301 Phone: 920-965-4800 | |
Corinne Elizabeth George, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3500 Fax: 920-445-7301 |