Jordan Wagner, CRNA | |
1117 E Devonshire Ave, Hemet, CA 92543-3083 | |
(951) 652-2811 | |
Not Available |
Full Name | Jordan Wagner |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 3 Years |
Location | 1117 E Devonshire Ave, Hemet, California |
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 |
---|---|---|---|
1952043689 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 269194 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hemet Global Medical Center | Hemet, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Seven Star Hospital Associates Inc | 4789083338 | 106 |
Entity Name | Seven Star Hospital Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043813140 PECOS PAC ID: 4789083338 Enrollment ID: O20210601002852 |
Mailing Address | Practice Location Address |
---|---|
Jordan Wagner, CRNA 3477 Amber Ln, Oceanside, CA 92056-4844 Ph: (775) 450-7238 | Jordan Wagner, CRNA 1117 E Devonshire Ave, Hemet, CA 92543-3083 Ph: (951) 652-2811 |
Steven Valenzuela, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1117 E Devonshire Ave, Hemet, CA 92543 Phone: 951-652-2811 | |
Christopher Dunn, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1176 Cragstone Dr, Hemet, CA 92545 Phone: 951-391-3018 | |
Marcos A. Mayorga Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1117 E Devonshire Ave, Hemet, CA 92543 Phone: 951-652-2811 | |
Mr. Scott Thomas Bertrand, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1003 E Florida Ave Ste 101, Hemet, CA 92543 Phone: 310-990-3461 |