Ellen Africano Wagner, CRNA in Flossmoor, IL - Medicare Certified Registered Nurse Anesthetist (crna)

Ellen Africano Wagner, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Flossmoor, Illinois. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Lake Anesthesia Associates and her current practice location is 19624 Governors Hwy, Flossmoor, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 798-5838.

Ellen Africano Wagner is licensed to practice in Illinois (license number 209.012203) 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 1679975411.

Contact Information

	Ellen Africano Wagner, CRNA
	19624 Governors Hwy, Flossmoor, IL 60422-2077
	(708) 798-5838
	(708) 798-5865

Map and Direction

Provider's Profile

Full Name	Ellen Africano Wagner
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	10 Years
Location	19624 Governors Hwy, Flossmoor, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ellen Africano Wagner graduated from nursing school in 2014

NPI Data:

NPI Number: 1679975411
Provider Enumeration Date: 09/24/2014
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 7113292384
Enrollment ID: I20171013003043

Medical Identifiers

Medical identifiers for Ellen Africano Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679975411	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	041372498 (Illinois)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	209.012203 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lake Anesthesia Associates	9830287416	7

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. Ellen Africano Wagner allows following entities to bill medicare on her behalf.

Entity Name	Lake Anesthesia Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528260635 PECOS PAC ID: 9830287416 Enrollment ID: O20071115000086

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. Ellen Africano 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
Ellen Africano Wagner, CRNA 1713 N Vine St, Chicago, IL 60614-5119 Ph: (312) 513-2177	Ellen Africano Wagner, CRNA 19624 Governors Hwy, Flossmoor, IL 60422-2077 Ph: (708) 798-5838

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Flossmoor, IL

Mrs. Patricia Jean Murtaugh, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 19624 Governors Hwy, Flossmoor, IL 60422 Phone: 708-798-5838 Fax: 708-798-5865
Mrs. Nancy Frost, C.R.N.A Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 19624 Governors Hwy, Flossmoor, IL 60422 Phone: 708-798-5838 Fax: 708-798-5865
Kenneth C Leeberg, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 19624 Governors Hwy, Flossmoor, IL 60422 Phone: 708-798-5838 Fax: 708-798-5865
Jerrie J Posthumus, C.R.N.A Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 19624 Governors Hwy, Flossmoor, IL 60422 Phone: 708-798-5838 Fax: 708-798-5865
Mr. Daniel Rinaldi, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 19624 Governors Hwy, Flossmoor, IL 60422 Phone: 708-798-5838 Fax: 708-798-5865
Mark Robert Sherman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 19624 Governors Hwy, Flossmoor, IL 60422 Phone: 708-798-5838
Mrs. Donna Christie, C.R.N.A Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 19624 Governors Hwy, Flossmoor, IL 60422 Phone: 708-798-5838 Fax: 708-798-5865

Ellen Africano Wagner, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Flossmoor, IL