Marti Wagers, NP | |
980 N Meridian Street, Portland, IN 47371-1129 | |
(260) 703-3312 | |
Not Available |
Full Name | Marti Wagers |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 980 N Meridian Street, Portland, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639892136 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71013022A (Indiana) | Primary |
Entity Name | Fast Pace Medical Clinic Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649770769 PECOS PAC ID: 5395881841 Enrollment ID: O20200827001491 |
Mailing Address | Practice Location Address |
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Marti Wagers, NP Po Box 306417, Nashville, TN 37230-6417 Ph: (931) 253-1110 | Marti Wagers, NP 980 N Meridian Street, Portland, IN 47371-1129 Ph: (260) 703-3312 |
Mrs. Heather Ann Masters, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 W Votaw St, Portland, IN 47371 Phone: 260-726-7131 Fax: 260-726-1975 | |
Kerry M Torres, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 428 W Votaw St, Portland, IN 47371 Phone: 260-726-8822 | |
Danielle Thompson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 980 N Meridian St, Portland, IN 47371 Phone: 260-703-3312 Fax: 260-703-3313 | |
Alice Odelia Bruggeman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 428 West Votaw Street, Suite A, Portland, IN 47371 Phone: 260-726-8822 Fax: 260-726-7857 | |
Anne Hardesty, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 W Votaw St, Portland, IN 47371 Phone: 260-726-2313 | |
Kayla Marie Melton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 406 W Votaw St, Portland, IN 47371 Phone: 765-288-1928 | |
Carrie Elizabeth Baldwin, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 428 W Votaw St, Suite A, Portland, IN 47371 Phone: 260-726-8822 Fax: 260-726-7857 |