Diane Wagner, MD is a medicare enrolled "Pathology - Medical Microbiology" physician in Islip, New York. Her current practice location is
43 Shebar Dr, Islip, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 581-1119.
Diane Wagner is licensed to practice in New York (license number 182713) 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 1194812164.
Physician's Profile
| Full Name | Diane Wagner |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 43 Shebar Dr, Islip, New York |
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| 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:
- Diane Wagner attended and graduated from in
NPI Data:
- NPI Number: 1194812164
- Provider Enumeration Date: 10/09/2006
- Last Update Date: 09/11/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Diane Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1194812164 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207ZB0001X | Pathology - Blood Banking & Transfusion Medicine | 182713 (New York) | Secondary |
| 207ZM0300X | Pathology - Medical Microbiology | 182713 (New York) | Primary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 182713 (New York) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 182713 (New York) | Secondary |
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. Diane 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 |
Diane Wagner, MD 43 Shebar Dr, Islip, NY 11751-4409 Ph: (631) 581-1119 | Diane Wagner, MD 43 Shebar Dr, Islip, NY 11751-4409 Ph: (631) 581-1119 |
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