Mrs Keri Jean Wagner, NP | |
650 Commack Rd, Commack, NY 11725-5404 | |
(631) 623-4000 | |
(631) 864-2787 |
Full Name | Mrs Keri Jean Wagner |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 19 Years |
Location | 650 Commack Rd, Commack, New York |
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 |
---|---|---|---|
1053433474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F334793 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mskcc Regional Network | 6608765144 | 78 |
Entity Name | Mskcc Regional Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740251297 PECOS PAC ID: 6608765144 Enrollment ID: O20040312000936 |
Mailing Address | Practice Location Address |
---|---|
Mrs Keri Jean Wagner, NP 650 Commack Rd, Commack, NY 11725-5404 Ph: (631) 623-4000 | Mrs Keri Jean Wagner, NP 650 Commack Rd, Commack, NY 11725-5404 Ph: (631) 623-4000 |
Sandra M Roth, ANP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 52 Radburn Dr, Commack, NY 11725 Phone: 631-864-5175 | |
Cindy Demetriou, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 356 Veterans Memorial Hwy, Suite 5, Commack, NY 11725 Phone: 631-858-0400 | |
Kelly Eileen Mcgowan, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2171 Jericho Tpke, Commack, NY 11725 Phone: 631-858-2190 | |
Mrs. Ann Marie Perrino, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 68 Hauppauge Rd, Commack, NY 11725 Phone: 631-715-2000 | |
Ms. Kathleen Bradley Kupferman, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 68 Hauppauge Rd, Commack, NY 11725 Phone: 631-715-2503 | |
Mrs. Lauren Dolce, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6080 Jericho Tpke, Suite 314, Commack, NY 11725 Phone: 631-462-2200 |