Mrs Katherine Leigh Wagner, FNP | |
405 Main St, Hillsboro, MO 63050-4351 | |
(636) 797-3737 | |
(636) 481-2100 |
Full Name | Mrs Katherine Leigh Wagner |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 405 Main St, Hillsboro, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376573923 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1999137599 (Missouri) | Secondary |
363L00000X | Nurse Practitioner | 1999137599 (Missouri) | Primary |
Entity Name | Physician Groups Lc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285664268 PECOS PAC ID: 3072421254 Enrollment ID: O20040220001157 |
Entity Name | Jefferson County Health Department |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235118324 PECOS PAC ID: 7618056011 Enrollment ID: O20180809005315 |
Mailing Address | Practice Location Address |
---|---|
Mrs Katherine Leigh Wagner, FNP 3023 N Ballas Rd Ste 600d, Saint Louis, MO 63131-2332 Ph: (314) 567-7018 | Mrs Katherine Leigh Wagner, FNP 405 Main St, Hillsboro, MO 63050-4351 Ph: (636) 797-3737 |
Miriam D. Butler, NP-C, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 405 Main St, Hillsboro, MO 63050 Phone: 636-797-8045 | |
Aida Trivic, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 802 Mel Carnahan Dr, Apt 2015, Hillsboro, MO 63050 Phone: 636-543-2290 Fax: 636-789-2523 | |
Amanda Kay Barkema, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4 Hickory Ridge Rd Ste 600, Hillsboro, MO 63050 Phone: 636-931-2700 | |
Sydnie Markowski, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4 Hickory Ridge Rd Ste 600, Hillsboro, MO 63050 Phone: 844-853-8937 | |
Kelly Renee Moore, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Andor Ln, Hillsboro, MO 63050 Phone: 314-520-1227 | |
Mrs. Leah Dobrynski, FNP-C, MSN, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10738 Business 21, Hillsboro, MO 63050 Phone: 636-543-2328 Fax: 636-543-2334 |