Mr Scott Wagner, PT | |
3015 Utah Ave S, Suite 200, Saint Louis Park, MN 55426-3671 | |
(952) 933-1121 | |
(952) 945-9635 |
Full Name | Mr Scott Wagner |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 35 Years |
Location | 3015 Utah Ave S, Saint Louis Park, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982648051 | NPI | - | NPPES |
4604 | Other | MN | MHP |
HP46100 | Other | MN | HP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 4604 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Life Medical Pa | 6204938350 | 9 |
Minnesota Medical And Rehabilitative Services Llc | 6406764703 | 4 |
Provider Name | Life Medical Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1740222496 PECOS PAC ID: 6204938350 Enrollment ID: O20070221000166 |
Provider Name | Minnesota Medical And Rehabilitative Services Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154302545 PECOS PAC ID: 6406764703 Enrollment ID: O20100728001200 |
Mailing Address | Practice Location Address |
---|---|
Mr Scott Wagner, PT 3015 Utah Ave S, Suite 200, Saint Louis Park, MN 55426-3671 Ph: (952) 933-1121 | Mr Scott Wagner, PT 3015 Utah Ave S, Suite 200, Saint Louis Park, MN 55426-3671 Ph: (952) 933-1121 |
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 | |
Gina M Wagner, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, Rehabilitation Services, Saint Louis Park, MN 55416 Phone: 952-993-0973 | |
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 |