Amanda C Wagner, | |
5645 Main St, Flushing, NY 11355-5045 | |
(718) 670-2000 | |
Not Available |
Full Name | Amanda C Wagner |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 4 Years |
Location | 5645 Main St, Flushing, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164058020 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN9407106 (Florida) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 786638 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kona Community Hospital | Kealakekua, HI | Hospital |
The Queens Medical Center | Honolulu, HI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medstream Anesthesia Hawaii Llc | 6002120599 | 22 |
Pacific Anesthesia Inc | 1951596329 | 75 |
Entity Name | Pacific Anesthesia Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538472451 PECOS PAC ID: 1951596329 Enrollment ID: O20101110001400 |
Entity Name | Pec Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528305208 PECOS PAC ID: 3870748023 Enrollment ID: O20130220000025 |
Entity Name | Medstream Anesthesia Hawaii Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346621190 PECOS PAC ID: 6002120599 Enrollment ID: O20150728004957 |
Mailing Address | Practice Location Address |
---|---|
Amanda C Wagner, 400 E Colonial Dr Apt 210, Orlando, FL 32803-4527 Ph: (407) 968-8225 | Amanda C Wagner, 5645 Main St, Flushing, NY 11355-5045 Ph: (718) 670-2000 |
Sonia A Tenadu, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-1435 | |
Crisalind Canga, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-1435 | |
Hao Tran, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 56-45 Main Street, Flushing, NY 11355 Phone: 718-670-2000 | |
Marlene Ngo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-1435 | |
Debra Kay Duhart-ball, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-1435 | |
Maria Unni, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-1435 |