Mr Brenton Paul Wagner, CNP | |
12300 Mccracken Road, Garfield Heights, OH 44125 | |
(216) 581-0500 | |
Not Available |
Full Name | Mr Brenton Paul Wagner |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 12300 Mccracken Road, Garfield Heights, Ohio |
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 |
---|---|---|---|
1326539578 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN.CNP.022596 (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Marymount Hospital Inc | 6507763661 | 13 |
Entity Name | Marymount Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720031131 PECOS PAC ID: 6507763661 Enrollment ID: O20031217000026 |
Entity Name | Specialists In Pulmonary & Critical Care, Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215114822 PECOS PAC ID: 3173606027 Enrollment ID: O20080215000027 |
Mailing Address | Practice Location Address |
---|---|
Mr Brenton Paul Wagner, CNP 540 E Portage Trl Apt 310, Cuyahoga Falls, OH 44221-2868 Ph: (419) 961-4784 | Mr Brenton Paul Wagner, CNP 12300 Mccracken Road, Garfield Heights, OH 44125 Ph: (216) 581-0500 |
Kelli Yurkschatt, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12300 Mccracken Rd, Garfield Heights, OH 44125 Phone: 330-743-5712 | |
Lisa Onesko, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12000 Mccracken Rd, Suite 550, Garfield Heights, OH 44125 Phone: 216-581-2580 Fax: 216-663-0666 | |
Julianne Tara Berish, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5595 Transportation Blvd Ste 220, Garfield Heights, OH 44125 Phone: 216-587-5431 Fax: 216-587-5474 | |
Kenyatta Denise Anderson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12914 Broadway Ave, Garfield Heights, OH 44125 Phone: 216-848-9123 Fax: 216-848-9123 | |
Tatyana Kligman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12300 Mccracken Rd, Garfield Heights, OH 44125 Phone: 216-581-0500 | |
Lauren Deniese Taylor, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Marymount Hospital, 12300 Mccracken Road, Garfield Heights, OH 44125 Phone: 216-581-0500 | |
Mason Reiter, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5595 Transportation Blvd Ste 220, Garfield Heights, OH 44125 Phone: 216-587-5431 |