Tana J Wagner, is a
Speech-language Pathologist based in Sergeant Bluff, Iowa. Tana J Wagner is licensed to practice in Iowa (license number 00852) and her current practice location is
206 Port Neal Rd, Sergeant Bluff, Iowa. She can be reached at her office (for appointments etc.) via phone at
(712) 943-3837.
NPI number for Tana J Wagner is 1215202114 and her current mailing address is 4417 Lost Meadows Rd, Sioux City, Iowa. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215202114.
Healthcare Provider's Profile
Full Name | Tana J Wagner |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 206 Port Neal Rd, Sergeant Bluff, Iowa |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215202114
- Provider Enumeration Date: 03/12/2012
- Last Update Date: 03/12/2012
Medical Identifiers
Medical identifiers for Tana J Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215202114 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 00852 (Iowa) | 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. Tana J Wagner 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 |
Tana J Wagner, 4417 Lost Meadows Rd, Sioux City, IA 51108-1001 Ph: () - | Tana J Wagner, 206 Port Neal Rd, Sergeant Bluff, IA 51054-8098 Ph: (712) 943-3837 |
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