Ms Kristen Laramie Wagoner, NP in Wilmington, MA

Ms Kristen Laramie Wagoner, NP is a medicare enrolled "Nurse Practitioner" in Wilmington, Massachusetts. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Winchester Emergency Medical Associates Pc and her current practice location is 500 Salem St, Wilmington, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (978) 988-6000.

Ms Kristen Laramie Wagoner is licensed to practice in Massachusetts (license number 2270616) 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 1407104060.

Contact Information

	Ms Kristen Laramie Wagoner, NP
	500 Salem St, Wilmington, MA 01887-1200
	(978) 988-6000
	(978) 657-4169

Map and Direction

Provider's Profile

Full Name	Ms Kristen Laramie Wagoner
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	500 Salem St, Wilmington, Massachusetts
Accepts Medicare Assignments	Yes. 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 Kristen Laramie Wagoner graduated from nursing school in 2012

NPI Data:

NPI Number: 1407104060
Provider Enumeration Date: 08/29/2012
Last Update Date: 06/10/2016

Medicare PECOS Information:

PECOS PAC ID: 6406008697
Enrollment ID: I20121217000106

Medical Identifiers

Medical identifiers for Ms Kristen Laramie Wagoner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407104060	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	2270616 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Winchester Hospital	Winchester, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Winchester Emergency Medical Associates Pc	5799755385	12

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 Kristen Laramie Wagoner allows following entities to bill medicare on her behalf.

Entity Name	Winchester Emergency Medical Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831131473 PECOS PAC ID: 5799755385 Enrollment ID: O20040820000555

Entity Name	Beth Israel Deaconess Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548202641 PECOS PAC ID: 8123936119 Enrollment ID: O20041001000827

Entity Name	Winchester Physician Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184606865 PECOS PAC ID: 4486540994 Enrollment ID: O20060215000452

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 Kristen Laramie Wagoner 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
Ms Kristen Laramie Wagoner, NP Po Box 760, Winchester, MA 01890-4260 Ph: (781) 756-7273	Ms Kristen Laramie Wagoner, NP 500 Salem St, Wilmington, MA 01887-1200 Ph: (978) 988-6000

Reviews and Comments

Nurse Practitioner Nurses in Wilmington, MA

Anthony Justin Tomich, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 222 Main St, Wilmington, MA 01887 Phone: 866-389-2727
Courtney King, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 Salem St, Wilmington, MA 01887 Phone: 978-664-1990
John Michael Jenkins, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 234 Main St, Wilmington, MA 01887 Phone: 978-909-4482
Jeffrey Keating, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 222 Main St, Wilmington, MA 01887 Phone: 855-389-2727
Annika Oberg, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 222 Main St, Wilmington, MA 01887 Phone: 978-658-3377
Sothea Miranda, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 222 Main St, Wilmington, MA 01887 Phone: 978-658-3377
Mr. Robert William Celona, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 234 Main St, Wilmington, MA 01887 Phone: 978-909-4482 Fax: 978-447-5192

Ms Kristen Laramie Wagoner, NP - Medicare Nurse Practitioner in Wilmington, MA