Kimberly Wagner, MS, OTRL is a
Specialist based in Dearborn, Michigan. Kimberly Wagner is licensed to practice in Michigan (license number 5201001795) and her current practice location is
23936 Michigan Ave, Dearborn, Michigan. She can be reached at her office (for appointments etc.) via phone at
(313) 278-4601.
NPI number for Kimberly Wagner is 1861885477 and her current mailing address is 15045 Belmont Ave, Allen Park, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861885477.
Healthcare Provider's Profile
Full Name | Kimberly Wagner |
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Gender | Female |
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Speciality | Specialist |
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Location | 23936 Michigan Ave, Dearborn, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861885477
- Provider Enumeration Date: 03/07/2015
- Last Update Date: 07/30/2019
Medical Identifiers
Medical identifiers for Kimberly Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861885477 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 5201001795 (Michigan) | Secondary |
174400000X | Specialist | 5201001795 (Michigan) | 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. Kimberly 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 |
Kimberly Wagner, MS, OTRL 15045 Belmont Ave, Allen Park, MI 48101-1605 Ph: (313) 378-6648 | Kimberly Wagner, MS, OTRL 23936 Michigan Ave, Dearborn, MI 48124-1833 Ph: (313) 278-4601 |
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