Mrs Sherry Diane Wagner, LPN is a
Licensed Practical Nurse based in Racine, Ohio. Mrs Sherry Diane Wagner is licensed to practice in Ohio (license number PN085949) and her current practice location is
28020 Tanners Run Rd, Racine, Ohio. She can be reached at her office (for appointments etc.) via phone at
(740) 949-2059.
NPI number for Mrs Sherry Diane Wagner is 1265548242 and her current mailing address is 28020 Tanners Run Rd, Racine, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265548242.
Provider's Profile
Full Name | Mrs Sherry Diane Wagner |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 28020 Tanners Run Rd, Racine, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265548242
- Provider Enumeration Date: 08/22/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Mrs Sherry Diane Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265548242 | NPI | - | NPPES |
2321302 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | PN085949 (Ohio) | Primary |
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 Sherry Diane Wagner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Sherry Diane Wagner, LPN 28020 Tanners Run Rd, Racine, OH 45771-9753 Ph: (740) 949-2059 | Mrs Sherry Diane Wagner, LPN 28020 Tanners Run Rd, Racine, OH 45771-9753 Ph: (740) 949-2059 |
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