Dr Kelly E Van Wagner, MD - Medicare Internal Medicine in N. Las Vegas, NV

Dr Kelly E Van Wagner, MD is a medicare enrolled "Internal Medicine" physician in N. Las Vegas, Nevada. She graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Intermountain Medical Holdings Nevada Inc and her current practice location is 6380 N. Decatur Blvd, Ste 215, N. Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at (702) 948-1145.

Dr Kelly E Van Wagner is licensed to practice in Nevada (license number 9533) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1306035571.

Contact Information

Dr Kelly E Van Wagner, MD
6380 N. Decatur Blvd, Ste 215,
N. Las Vegas, NV 89084
(702) 948-1145
(702) 949-6206

Map and Direction




Physician's Profile

Full NameDr Kelly E Van Wagner
GenderFemale
SpecialityInternal Medicine
Experience27 Years
Location6380 N. Decatur Blvd, N. Las Vegas, Nevada
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kelly E Van Wagner graduated from medical school in 1997
  NPI Data:
  • NPI Number: 1306035571
  • Provider Enumeration Date: 10/23/2007
  • Last Update Date: 02/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9537113543
  • Enrollment ID: I20050311000240

Medical Identifiers

Medical identifiers for Dr Kelly E Van Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306035571NPI-NPPES
9533OtherNVSTATE LICENSE
V114112OtherNVSMA MEDICARE
1306035571MedicaidNV
1306035571OtherNVSMA MEDICAID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 9533 (Nevada)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Intermountain Medical Holdings Nevada Inc7416054622291

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kelly E Van Wagner allows following entities to bill medicare on her behalf.
Entity NameHealthcare Partners Medical Group Coats Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487631917
PECOS PAC ID: 5991866303
Enrollment ID: O20100113000898
Entity NameIntermountain Medical Holdings Nevada Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245997279
PECOS PAC ID: 7416054622
Enrollment ID: O20220214001765

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. Dr Kelly E Van Wagner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kelly E Van Wagner, MD
6355 S Buffalo Dr Fl 3,
Las Vegas, NV 89113-2133

Ph: (702) 216-3346
Dr Kelly E Van Wagner, MD
6380 N. Decatur Blvd, Ste 215,
N. Las Vegas, NV 89084

Ph: (702) 948-1145

Reviews and Comments


Internal Medicine Doctors in N. Las Vegas, NV

Desh P Sharma, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 6900n. Pecos Rd, 1a216, N. Las Vegas, NV 89086
Phone: 410-688-5470    Fax: 702-224-6908

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.