Ms Dara Marie Wagner, APN-C - Medicare Nurse Practitioner in Canton, IL

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Ms Dara Marie Wagner, APN-C is a medicare enrolled "Nurse Practitioner - Family" in Canton, Illinois. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Graham Hospital Association and her current practice location is 180 S Main St, Canton, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 647-0201.

Ms Dara Marie Wagner is licensed to practice in Illinois (license number 209020976) 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 1063046464.

Contact Information

Ms Dara Marie Wagner, APN-C
180 S Main St,
Canton, IL 61520-2608
(309) 647-0201
Not Available

Map and Direction




Provider's Profile

Full NameMs Dara Marie Wagner
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location180 S Main St, Canton, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Dara Marie Wagner graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1063046464
  • Provider Enumeration Date: 02/25/2020
  • Last Update Date: 10/20/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2163829979
  • Enrollment ID: I20210921003532

Medical Identifiers

Medical identifiers for Ms Dara Marie Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063046464NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 209020976 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 209020976 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Graham Hospital Association276937502195

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. Ms Dara Marie Wagner allows following entities to bill medicare on her behalf.
Entity NameGraham Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780692087
PECOS PAC ID: 2769375021
Enrollment ID: O20040510000873

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. Ms Dara Marie Wagner 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 AddressPractice Location Address
Ms Dara Marie Wagner, APN-C
180 S Main St,
Canton, IL 61520-2608

Ph: (309) 647-0201		Ms Dara Marie Wagner, APN-C
180 S Main St,
Canton, IL 61520-2608

Ph: (309) 647-0201

Reviews and Comments


Nurse Practitioner Nurses in Canton, IL

Tracy Ann Iversen, PMHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 210 W Walnut St, Canton, IL 61520
Phone: 309-647-0201    
Jessica Lynn Bugos, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 180 S Main St, Canton, IL 61520
Phone: 309-647-0201    
Cody J. Gibbs, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 180 S Main St, Canton, IL 61520
Phone: 309-647-0201    Fax: 309-649-6880
Stephanie Barnes, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 180 S Main St, Canton, IL 61520
Phone: 309-647-0201    Fax: 309-649-6880
Theresa Bankert, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 700 E Oak St, Canton, IL 61520
Phone: 309-647-1134    
Carley Elizabeth Promisson,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 126 N 5th Ave, Canton, IL 61520
Phone: 309-647-0201    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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