Dr Christina Wagner, PHD | |
1542 S Bloomington St, Greencastle, IN 46135-2212 | |
(765) 301-7449 | |
Not Available |
Full Name | Dr Christina Wagner |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 1542 S Bloomington St, Greencastle, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144519794 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 20042201A (Indiana) | Secondary |
103TC0700X | Psychologist - Clinical | 20042201A (Indiana) | Primary |
Entity Name | Putnam County Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578608188 PECOS PAC ID: 1951396605 Enrollment ID: O20040420000945 |
Mailing Address | Practice Location Address |
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Dr Christina Wagner, PHD 5405 Tuckerman Ln, Apt 667, North Bethesda, MD 20852-7301 Ph: (317) 809-7661 | Dr Christina Wagner, PHD 1542 S Bloomington St, Greencastle, IN 46135-2212 Ph: (765) 301-7449 |
Nicholas Christopher Heck, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1542 S Bloomington St, Greencastle, IN 46135 Phone: 765-301-7449 | |
Dr. Lucy F Field, PHD HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1145 Indianapolis Rd, Greencastle, IN 46135 Phone: 765-653-2710 Fax: 765-653-2710 | |
Ms. Melissa Dawn Lancaster, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 N Calbert Way Ste B, Greencastle, IN 46135 Phone: 765-653-2781 | |
Mrs. Loretta Jean Smith, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 N Calbert Way Ste B, Greencastle, IN 46135 Phone: 765-653-2781 Fax: 765-653-6110 | |
Charity Nitz Pankratz, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 N Calbert Way, Greencastle, IN 46135 Phone: 765-653-2781 Fax: 765-653-6110 | |
William Nunn, PHD, HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 239 Hillsdale Ave, Greencastle, IN 46135 Phone: 765-653-1024 Fax: 765-653-4931 |