Kayla Rose Wagner, RD, LD in Fergus Falls, MN - Medicare Registered Dietitian Or Nutrition Professional Provider

Kayla Rose Wagner, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Fergus Falls, Minnesota. She graduated from medical school in 2011 and has 14 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Lake Region Healthcare Corporation and her current practice location is 712 S Cascade St, Fergus Falls, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 736-8000.

Kayla Rose Wagner is licensed to practice in Minnesota (license number 3119) 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 1235492570.

Contact Information

	Kayla Rose Wagner, RD, LD
	712 S Cascade St, Fergus Falls, MN 56537-2913
	(218) 736-8000
	(218) 736-8719

Map and Direction

Healthcare Provider's Profile

Full Name	Kayla Rose Wagner
Gender	Female
Speciality	Registered Dietitian Or Nutrition Professional
Experience	14 Years
Location	712 S Cascade St, Fergus Falls, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kayla Rose Wagner graduated from medical school in 2011

NPI Data:

NPI Number: 1235492570
Provider Enumeration Date: 06/21/2012
Last Update Date: 08/21/2014

Medicare PECOS Information:

PECOS PAC ID: 2668623497
Enrollment ID: I20121103000018

Medical Identifiers

Medical identifiers for Kayla Rose Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235492570	NPI	-	NPPES
10050503	Other	MN	SERVSAFE
3119	Other	MN	BOARD OF DIETETICS & NUTRITION PRACTICE
XE20265137	Other		NATIONAL REGISTRY OF FOOD SAFETY CERTIFIED FOOD SAFETY MANAGER
86007314	Other	MN	ACADEMY OF NUTRITION AND DIETETICS VERIFICATION

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	3119 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lake Region Healthcare Corporation	Fergus falls, MN	Hospital
Prairie Ridge Hospital And Health Services	Elbow lake, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lake Region Healthcare Corporation	3971565334	124

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. Kayla Rose Wagner allows following entities to bill medicare on her behalf.

Provider Name	Prairie Ridge Hospital And Health Services
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1407838329 PECOS PAC ID: 0648222349 Enrollment ID: O20050210000490

Provider Name	Lake Region Healthcare Corporation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1093713372 PECOS PAC ID: 3971565334 Enrollment ID: O20060109000246

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. Kayla Rose 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
Kayla Rose Wagner, RD, LD 712 S Cascade St, Fergus Falls, MN 56537-2913 Ph: (218) 736-8000	Kayla Rose Wagner, RD, LD 712 S Cascade St, Fergus Falls, MN 56537-2913 Ph: (218) 736-8000

Reviews and Comments

Dietitian, Registered in Fergus Falls, MN

Macarra Joseph, RDN, LRD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 712 S Cascade St, Fergus Falls, MN 56537 Phone: 218-736-8101
Julie Hamre, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 712 S Cascade St, Fergus Falls, MN 56537 Phone: 218-736-8000 Fax: 218-736-8765
Miss Josephine Anne Kugler, MS, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 712 S Cascade St, Fergus Falls, MN 56537 Phone: 218-736-8059 Fax: 218-736-8727
Emily Dirkes, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 712 S Cascade St, Fergus Falls, MN 56537 Phone: 218-736-8059
Mary Hagstrom, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 712 Cascade St S, Fergus Falls, MN 56537 Phone: 218-736-8059
Kristy Norenberg, MPH, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 712 S Cascade St, Fergus Falls, MN 56537 Phone: 218-736-8059 Fax: 218-736-8727

Kayla Rose Wagner, RD, LD - Medicare Dietitian in Fergus Falls, MN