| Kristen M Wagner, DO | |
|
3443 Farr Rd, Fruitport, MI 49415-8779 | |
| (231) 672-2900 | |
| (231) 672-2901 |
| Full Name | Kristen M Wagner |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 14 Years |
| Location | 3443 Farr Rd, Fruitport, Michigan |
| 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 |
|---|---|---|---|
| 1598017048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101020125 (Michigan) | Primary |
| 207V00000X | Obstetrics & Gynecology | 5101020125 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mayo Regional Hospital | Dover foxcroft, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mrh Corp | 1355770892 | 22 |
| Entity Name | Mrh Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558319103 PECOS PAC ID: 1355770892 Enrollment ID: O20200803002384 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen M Wagner, DO 1675 Leahy St, Suite 315a, Muskegon, MI 49442-5500 Ph: (231) 727-5209 | Kristen M Wagner, DO 3443 Farr Rd, Fruitport, MI 49415-8779 Ph: (231) 672-2900 |
Chase Burton, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3443 Farr Rd, Fruitport, MI 49415 Phone: 231-672-8284 | |
Dr. Kristen Kay Woods, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3443 Farr Rd, Fruitport, MI 49415 Phone: 231-672-2900 Fax: 231-672-2901 | |
Nathan Dills, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3443 Farr Rd, Fruitport, MI 49415 Phone: 231-672-2900 | |
Fizza Agha, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3443 Farr Rd, Fruitport, MI 49415 Phone: 231-727-5209 | |
Lauren Mcgraw, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3443 Farr Rd, Fruitport, MI 49415 Phone: 231-672-2900 | |
Dr. Faith Elizabeth Sharp, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3443 Farr Rd, Fruitport, MI 49415 Phone: 231-672-2900 | |
Darrell S Roelandt, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3443 Farr Rd, Fruitport, MI 49415 Phone: 231-672-2900 Fax: 231-672-2901 |