Gina M Wagner, DPT | |
3800 Park Nicollet Blvd, Rehabilitation Services, Saint Louis Park, MN 55416-2527 | |
(952) 993-0973 | |
Not Available |
Full Name | Gina M Wagner |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 12 Years |
Location | 3800 Park Nicollet Blvd, Saint Louis Park, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144663931 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11964-24 (Wisconsin) | Secondary |
225100000X | Physical Therapist | 9586 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Park Nicollet Clinic | 7911819438 | 1530 |
Provider Name | Park Nicollet Clinic |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Mailing Address | Practice Location Address |
---|---|
Gina M Wagner, DPT 3124 Jersey Ave S, Saint Louis Park, MN 55426-3443 Ph: (608) 630-4872 | Gina M Wagner, DPT 3800 Park Nicollet Blvd, Rehabilitation Services, Saint Louis Park, MN 55416-2527 Ph: (952) 993-0973 |
Anna Spanbauer, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, Saint Louis Park, MN 55426 Phone: 952-993-5000 | |
Dr. Toan Quoc Tran, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4201 Excelsior Blvd, Saint Louis Park, MN 55416 Phone: 952-933-8900 Fax: 952-945-9536 | |
Mrs. Lois Brisco, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3015 Utah Ave S, Suite 200, Saint Louis Park, MN 55426 Phone: 952-933-1121 Fax: 952-945-9536 | |
Dr. Andrew Haley, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5050 W 36th St Ste 100, Saint Louis Park, MN 55416 Phone: 952-925-4085 | |
Andrea Price, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5775 Wayzata Blvd Ste 900, Saint Louis Park, MN 55416 Phone: 952-467-6629 | |
Deirdre M Dvorak, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3850 Park Nicollet Blvd, Saint Louis Park, MN 55416 Phone: 952-993-3123 |