| Mrs Lisa Louise Wagner, MA, CCC-A | |
|
5040 Villa Linde Pkwy Ste A, Flint, MI 48532-3445 | |
| (810) 732-4250 | |
| (810) 732-0444 |
| Full Name | Mrs Lisa Louise Wagner |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 5040 Villa Linde Pkwy Ste A, Flint, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578731725 | NPI | - | NPPES |
| 1578731725 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 1601000283 (Michigan) | Primary |
| Provider Name | Mehmet C Agabigum Md Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1972776052 PECOS PAC ID: 5193996171 Enrollment ID: O20110923000038 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lisa Louise Wagner, MA, CCC-A 5040 Villa Linde Pkwy Ste A, Flint, MI 48532-3445 Ph: (810) 732-4250 | Mrs Lisa Louise Wagner, MA, CCC-A 5040 Villa Linde Pkwy Ste A, Flint, MI 48532-3445 Ph: (810) 732-4250 |
Mrs. Libby Marie Cook, CCC-A Audiologist Medicare: May Accept Medicare Assignments Practice Location: 806 Tuuri Pl, Flint, MI 48503 Phone: 810-767-5750 Fax: 810-768-7568 | |
V.a. Hingst Consulting, P.c. Audiologist Medicare: Not Enrolled in Medicare Practice Location: G3169 Beecher Rd., Suite204, Flint, MI 48532 Phone: 810-239-9491 | |
Mrs. Laurie Ann Vandyke, M.A., CCC-A Audiologist Medicare: Medicare Enrolled Practice Location: 806 Tuuri Pl, Flint, MI 48503 Phone: 810-767-5750 |