| Jessica H Wagener, MD | |
|
115 Porter Drive, Porter Hospital, Middlebury, VT 05753 | |
| (802) 388-4001 | |
| (802) 388-5612 |
| Full Name | Jessica H Wagener |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 34 Years |
| Location | 115 Porter Drive, Middlebury, Vermont |
| 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 |
|---|---|---|---|
| 1023180445 | NPI | - | NPPES |
| 0VN0884 | Medicaid | VT | |
| 77V131 | Other | VT | MVP VT MGD CARE |
| 19935 | Other | VT | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 0420008940 (Vermont) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Porter Hospital, Inc | Middlebury, VT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Porter Hospital Inc | 1850365180 | 87 |
| Entity Name | Porter Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053331389 PECOS PAC ID: 1850365180 Enrollment ID: O20050919000670 |
| Entity Name | Porter Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134457013 PECOS PAC ID: 1850365180 Enrollment ID: O20050919000862 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica H Wagener, MD 115 Porter Drive, Susan Spitzner Finance Dept, Middlebury, VT 05753 Ph: (802) 388-5607 | Jessica H Wagener, MD 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 Ph: (802) 388-4001 |
Robert D Pitts, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 115 Porter Dr, Porter Hospital, Middlebury, VT 05753 Phone: 802-388-4001 Fax: 802-388-5612 | |
Amanda S. Young, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 115 Porter Drive, Middlebury, VT 05753 Phone: 802-388-5607 Fax: 802-388-5654 | |
Glen R Lovejoy, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 Phone: 802-388-4001 Fax: 802-388-5612 | |
William J Nowlan, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 Phone: 802-388-4001 Fax: 802-388-5612 | |
Fred W Kniffin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 Phone: 802-388-4001 Fax: 802-388-5612 | |
Robert Rene Gosselin, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6a Maple St, Middlebury, VT 05753 Phone: 724-991-3254 |