Mrs Kenna Lea Wagner, MSN, APRN, FNP-BC | |
461 Schoolview Street, Elizabeth, WV 26143-2614 | |
(304) 275-3117 | |
(304) 275-7255 |
Full Name | Mrs Kenna Lea Wagner |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 461 Schoolview Street, Elizabeth, West Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730741158 | NPI | - | NPPES |
0397748 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 025229 (Ohio) | Secondary |
363LF0000X | Nurse Practitioner - Family | 103969 (West Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wirt County Health Services Association, Inc | 7810806577 | 24 |
Wirt County Health Services Association, Inc | 7810806577 | 24 |
Entity Name | Wirt County Health Services Association, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366762825 PECOS PAC ID: 7810806577 Enrollment ID: O20140117000516 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kenna Lea Wagner, MSN, APRN, FNP-BC Po Box 609, Elizabeth, WV 26143-0609 Ph: (304) 275-3117 | Mrs Kenna Lea Wagner, MSN, APRN, FNP-BC 461 Schoolview Street, Elizabeth, WV 26143-2614 Ph: (304) 275-3117 |
Kimberly A Jividen, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 483 Court St, Elizabeth, WV 26143 Phone: 304-275-3301 Fax: 304-275-4798 | |
Charlotte L Lantz, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 Elizabeth Pike, Elizabeth, WV 26143 Phone: 304-275-3301 Fax: 304-275-4798 | |
Amanda Lynch, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 483 Court Street, Elizabeth, WV 26143 Phone: 304-275-3301 Fax: 304-275-4798 | |
Kaitlin Marie Davis, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 483 Court St, Elizabeth, WV 26143 Phone: 304-275-3301 | |
Stacey N Mills, C-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 483 Court Street, Elizabeth, WV 26143 Phone: 304-275-3301 Fax: 304-275-4798 | |
Kayla Valentine, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 483 Court St, Elizabeth, WV 26143 Phone: 304-424-4574 |