Ryan Wagner, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant" in Weimar, California. His current practice location is
20601 W Paoli Ln, Weimar, California. You can reach out to his office (for appointments etc.) via phone at
(530) 637-4025.
Ryan Wagner is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1871210021.
Provider's Profile
Full Name | Ryan Wagner |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 20601 W Paoli Ln, Weimar, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1871210021
- Provider Enumeration Date: 10/27/2022
- Last Update Date: 10/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 3779954268
- Enrollment ID: I20230119002980
Medical Identifiers
Medical identifiers for Ryan Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871210021 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | 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. Ryan 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 Address | Practice Location Address |
Ryan Wagner, PHYSICIAN ASSISTANT 1138 La Grande Ave, Napa, CA 94558-2168 Ph: () - | Ryan Wagner, PHYSICIAN ASSISTANT 20601 W Paoli Ln, Weimar, CA 95736 Ph: (530) 637-4025 |
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