Stephanie Wagner, | |
1387 Fairport Rd, Fairport, NY 14450-2003 | |
(585) 641-0304 | |
Not Available |
Full Name | Stephanie Wagner |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1387 Fairport Rd, Fairport, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104291574 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 0217691 (New York) | Primary |
Provider Name | Nysarc Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457458424 PECOS PAC ID: 4486749751 Enrollment ID: O20071002000071 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Wagner, 1387 Fairport Rd, Fairport, NY 14450-2003 Ph: () - | Stephanie Wagner, 1387 Fairport Rd, Fairport, NY 14450-2003 Ph: (585) 641-0304 |
Mrs. Corinne A Muller, NYS LIC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6800 Pittsford Palmyra Rd, Suite 320, Fairport, NY 14450 Phone: 585-223-5090 Fax: 585-425-1785 | |
Gretchen Gustavson, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 149 N Main St, Fairport, NY 14450 Phone: 585-377-2230 | |
Ms. Laura Schultze Sepka, MS, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 41 Oconnor Rd, Fairport, NY 14450 Phone: 585-377-4660 | |
Mrs. Karen Jeanne Barner, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 41 Oconnor Rd, Fairport, NY 14450 Phone: 585-377-4660 | |
Mrs. Everien Rebecca Malone, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 41 Oconnor Rd, Fairport, NY 14450 Phone: 585-377-4660 | |
Toni Mizma, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6800 Pittsford Palmyra Rd, Suite 380, Fairport, NY 14450 Phone: 585-223-5090 Fax: 585-425-1785 | |
Kaitlin Michelle Hurley, M.A. CCC-SLP/L Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 58 Blackwatch Trl, Fairport, NY 14450 Phone: 585-421-8082 |