Diane Wagner, MD is a
Pathology - Medical Microbiology physician based in Islip, New York. Diane Wagner is licensed to practice in New York (license number 182713) and her current practice location is 43 Shebar Dr, Islip, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 581-1119.
NPI number for Diane Wagner is 1194812164 and her current mailing address is 43 Shebar Dr, Islip, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194812164.
Physician's Profile
| Full Name | Diane Wagner |
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| Gender | Female |
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| Speciality | Pathology - Medical Microbiology |
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| Location | 43 Shebar Dr, Islip, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194812164
- Provider Enumeration Date: 10/09/2006
- Last Update Date: 09/11/2025
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
NOT enrolled with medicare and thus cannot 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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