| Mrs Kimberly Lue Wagner, MD | |
|
5825 Delmonico Dr Ste 102, Colorado Springs, CO 80919-2243 | |
| (719) 715-4882 | |
| (303) 381-1566 |
| Full Name | Mrs Kimberly Lue Wagner |
|---|---|
| Gender | Female |
| Speciality | Neurology |
| Experience | 17 Years |
| Location | 5825 Delmonico Dr Ste 102, Colorado Springs, Colorado |
| 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 |
|---|---|---|---|
| 1922325497 | NPI | - | NPPES |
| 03254356 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | DR.0053519 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uch-memorial Health System | Colorado springs, CO | Hospital |
| Centura Health-penrose St Francis Health Services | Colorado springs, CO | Hospital |
| St Mary Corwin Med Ctr, Centura Health | Pueblo, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Poudre Valley Medical Group Llc | 9638208549 | 2394 |
| Colorado Springs Neurological Associates, P.c. | 9638073612 | 21 |
| Neurology Of The Rockies Llc | 7315962008 | 11 |
| Entity Name | Colorado Springs Neurological Associates, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407805948 PECOS PAC ID: 9638073612 Enrollment ID: O20031121000213 |
| Entity Name | Catholic Health Initiatives Colorado |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462 |
| Entity Name | Poudre Valley Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225356868 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kimberly Lue Wagner, MD 5825 Delmonico Dr Ste 102, Colorado Springs, CO 80919-2243 Ph: (303) 381-0929 | Mrs Kimberly Lue Wagner, MD 5825 Delmonico Dr Ste 102, Colorado Springs, CO 80919-2243 Ph: (719) 715-4882 |
Justin Cheongsiatmoy, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 24 S Weber St Ste 200, Colorado Springs, CO 80903 Phone: 424-652-8506 | |
Kevin K. Snyder, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1115 Elkton Dr Ste 300, Colorado Springs, CO 80907 Phone: 719-373-9703 Fax: 719-631-7017 | |
Dr. Laura Jane Elder, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4215 Stonehaven Dr, Colorado Springs, CO 80906 Phone: 972-816-7870 | |
Dr. Michelle Louise Raphael, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4110 Briargate Pkwy Ste 140, Colorado Springs, CO 80920 Phone: 719-365-7300 Fax: 719-365-7301 | |
William Tyler Stone, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1715 N Weber St, Suite 120, Colorado Springs, CO 80907 Phone: 719-722-4929 Fax: 719-358-9860 | |
Dr. Allyson Paige Walker, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6510 S Academy Blvd Ste 110, Colorado Springs, CO 80906 Phone: 719-300-7123 Fax: 877-808-1658 | |
Roy Alan Kanter, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4110 Briargate Pkwy Ste 405, Colorado Springs, CO 80920 Phone: 719-365-7300 Fax: 719-365-7301 |