Mrs Maria Lynn Wagner Pieczonka, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Flagler Beach, Florida. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Florida Clinical Practice Association Inc and her current practice location is
905 Lambert Ave, Flagler Beach, Florida. You can reach out to her office (for appointments etc.) via phone at
(304) 812-4553.
Mrs Maria Lynn Wagner Pieczonka is licensed to practice in Florida (license number APRN9361416) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1598114175.
Provider's Profile
| Full Name | Mrs Maria Lynn Wagner Pieczonka |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 8 Years |
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| Location | 905 Lambert Ave, Flagler Beach, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Maria Lynn Wagner Pieczonka graduated from nursing school in 2016
NPI Data:
- NPI Number: 1598114175
- Provider Enumeration Date: 06/06/2016
- Last Update Date: 12/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 3971884347
- Enrollment ID: I20161222000520
Medical Identifiers
Medical identifiers for Mrs Maria Lynn Wagner Pieczonka such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598114175 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | ARNP9361416 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN9361416 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Florida Clinical Practice Association Inc | 0345146254 | 1622 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Maria Lynn Wagner Pieczonka allows following entities to bill medicare on her behalf.
| Entity Name | Florida Clinical Practice Association Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063463768
PECOS PAC ID: 0345146254
Enrollment ID: O20031211000099 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Maria Lynn Wagner Pieczonka is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Mrs Maria Lynn Wagner Pieczonka, CRNA
1329 Sw 16th St Rm 2232,
Gainesville, FL 32608-1128
Ph: (352) 733-0485 | Mrs Maria Lynn Wagner Pieczonka, CRNA
905 Lambert Ave,
Flagler Beach, FL 32136-3039
Ph: (304) 812-4553 |
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