| Rachel Wagner, RD | |
|
1400 Grand Ave, Newport, KY 41071-2570 | |
| (859) 572-3366 | |
| (859) 572-3568 |
| Full Name | Rachel Wagner |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 24 Years |
| Location | 1400 Grand Ave, Newport, Kentucky |
| 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 |
|---|---|---|---|
| 1275066953 | NPI | - | NPPES |
| K224130 | Other | KY | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 169038 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summit Medical Group Inc | 2163326240 | 803 |
| Summit Medical Group Inc | 2163326240 | 803 |
| Provider Name | Summit Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel Wagner, RD Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 212-4625 | Rachel Wagner, RD 1400 Grand Ave, Newport, KY 41071-2570 Ph: (859) 572-3366 |
Adam Joseph Walz, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11 W Ridge Pl, Newport, KY 41071 Phone: 859-221-1893 | |
Laura Springman, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1098 Monmouth St, Newport, KY 41071 Phone: 859-431-1704 Fax: 859-655-6386 | |
Brittany Venci, MS RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 430 E 4th St, Newport, KY 41071 Phone: 502-542-1257 | |
Lakin Mccormick, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 216 E 7th St, Newport, KY 41071 Phone: 513-426-5370 | |
Jennifer Adamczyk, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Aqua Way Apt 315, Newport, KY 41071 Phone: 262-498-4836 |