Matthew Wagner, | |
1200 Grant Blvd W, Wabasha, MN 55981 | |
(651) 565-5600 | |
Not Available |
Full Name | Matthew Wagner |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 1200 Grant Blvd W, Wabasha, Minnesota |
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 |
---|---|---|---|
1053785840 | NPI | - | NPPES |
CNP 4307 | Other | MN | APRN LICENSE |
R 170201-9 | Other | MN | RN LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | CNP 4307 (Minnesota) | Primary |
163W00000X | Registered Nurse | R 170201-9 (Minnesota) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
St Elizabeth Medical Center | Wabasha, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Saint Elizabeths Hospital Of Wabasha Inc | 5092619387 | 78 |
Saint Elizabeths Hospital Of Wabasha Inc | 5092619387 | 78 |
Entity Name | Saint Elizabeths Hospital Of Wabasha Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659355600 PECOS PAC ID: 5092619387 Enrollment ID: O20031119000811 |
Mailing Address | Practice Location Address |
---|---|
Matthew Wagner, 1200 Grant Blvd W, Wabasha, MN 55981-1042 Ph: (651) 565-5600 | Matthew Wagner, 1200 Grant Blvd W, Wabasha, MN 55981 Ph: (651) 565-5600 |
Denay Lynn Kelly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Grant Blvd W, Wabasha, MN 55981 Phone: 507-884-0651 Fax: 651-565-4531 | |
Jacqueline Ann Lingl, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 Grant Blvd W, Wabasha, MN 55981 Phone: 651-565-4531 | |
Rebecca S. Nelson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1202 5th Grant Blvd, Wabasha, MN 55981 Phone: 651-565-4571 | |
Sharon Riester, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 Grant Blvd W, Wabasha, MN 55981 Phone: 651-565-5600 | |
Jennifer J Hust, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Grant Blvd W, Wabasha, MN 55981 Phone: 651-565-4531 |