Ms Nicole Wagner, OT is a
Occupational Therapist based in Keystone Heights, Florida. Ms Nicole Wagner is licensed to practice in Florida (license number OT9143) and her current practice location is
465 S Lawrence Blvd, Keystone Heights, Florida. She can be reached at her office (for appointments etc.) via phone at
(352) 473-7560.
NPI number for Ms Nicole Wagner is 1720353311 and her current mailing address is 465 S Lawrence Blvd, Keystone Heights, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720353311.
Healthcare Provider's Profile
Full Name | Ms Nicole Wagner |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 465 S Lawrence Blvd, Keystone Heights, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720353311
- Provider Enumeration Date: 03/14/2012
- Last Update Date: 03/14/2012
Medical Identifiers
Medical identifiers for Ms Nicole Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720353311 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | OT9143 (Florida) | 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. Ms Nicole 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 |
Ms Nicole Wagner, OT 465 S Lawrence Blvd, Keystone Heights, FL 32656-9222 Ph: (352) 473-7560 | Ms Nicole Wagner, OT 465 S Lawrence Blvd, Keystone Heights, FL 32656-9222 Ph: (352) 473-7560 |
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