Tina Marie Wanner, is a
Physical Medicine & Rehabilitation based in Carson City, Nevada. Tina Marie Wanner is licensed to practice in Nevada (license number PT2029) and her current practice location is
3050 N Ormsby Blvd, Carson City, Nevada. She can be reached at her office (for appointments etc.) via phone at
(775) 841-4646.
NPI number for Tina Marie Wanner is 1902317944 and her current mailing address is 3050 N Ormsby Blvd, Carson City, Nevada. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902317944.
Healthcare Provider's Profile
Full Name | Tina Marie Wanner |
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Gender | Female |
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Speciality | Physical Medicine & Rehabilitation |
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Location | 3050 N Ormsby Blvd, Carson City, Nevada |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902317944
- Provider Enumeration Date: 10/17/2017
- Last Update Date: 10/17/2017
Medical Identifiers
Medical identifiers for Tina Marie Wanner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902317944 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 2029 (Nevada) | Secondary |
208100000X | Physical Medicine & Rehabilitation | PT2029 (Nevada) | 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. Tina Marie Wanner 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 |
Tina Marie Wanner, 3050 N Ormsby Blvd, Carson City, NV 89703-8378 Ph: () - | Tina Marie Wanner, 3050 N Ormsby Blvd, Carson City, NV 89703-8378 Ph: (775) 841-4646 |
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