| Mrs Tiffany A Wagar, AUD | |
|
195 Wadsworth Rd, Suite 401, Wadsworth, OH 44281-9504 | |
| (330) 336-8717 | |
| (330) 335-0092 |
| Full Name | Mrs Tiffany A Wagar |
|---|---|
| Gender | Female |
| Speciality | Qualified Audiologist |
| Experience | 19 Years |
| Location | 195 Wadsworth Rd, Wadsworth, Ohio |
| 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 |
|---|---|---|---|
| 1619131950 | NPI | - | NPPES |
| 000000214717 | Other | OH | UNISON |
| 11779561 | Other | OH | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | A01614 (Ohio) | Primary |
| 237600000X | Audiologist-hearing Aid Fitter | A01614 (Ohio) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mark S. Brigham, Do, Inc. | 0749378925 | 3 |
| Provider Name | Mark S. Brigham, Do, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1922289875 PECOS PAC ID: 0749378925 Enrollment ID: O20071126000072 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tiffany A Wagar, AUD 195 Wadsworth Rd, Suite 401, Wadsworth, OH 44281-9504 Ph: (330) 336-8717 | Mrs Tiffany A Wagar, AUD 195 Wadsworth Rd, Suite 401, Wadsworth, OH 44281-9504 Ph: (330) 336-8717 |
Donna L Los, M.S. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 195 Wadsworth Rd, Suite 401, Wadsworth, OH 44281 Phone: 330-336-8717 Fax: 330-335-0092 | |
Modern Hearing Solutions Of Wadsworth, Inc. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1197 High St. Nw, Suite 100, Wadsworth, OH 44281 Phone: 330-334-4545 Fax: 330-334-4546 | |
Mrs. Shelley Laura Mcferren Duncan, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 195 Wadsworth Rd, Suite 401, Wadsworth, OH 44281 Phone: 330-336-8717 Fax: 330-335-0092 |