| Ashley Wagner, CRNP | |
|
180 Main Rd, Brownville, ME 04414-3107 | |
| (207) 538-3700 | |
| Not Available |
| Full Name | Ashley Wagner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 180 Main Rd, Brownville, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114395852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | CNP261832 (Maine) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 1-141241 (Alabama) | Secondary |
| Entity Name | Rural Health Medical Program, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437238151 PECOS PAC ID: 0143219196 Enrollment ID: O20040506001178 |
| Entity Name | Hospital Medicine Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093758781 PECOS PAC ID: 9234156985 Enrollment ID: O20061002000335 |
| Entity Name | Cahaba Medical Care Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316201809 PECOS PAC ID: 1355597923 Enrollment ID: O20121120000238 |
| Entity Name | Signify Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210224000756 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Wagner, CRNP Po Box 746063, Atlanta, GA 30374-6063 Ph: (312) 733-9730 | Ashley Wagner, CRNP 180 Main Rd, Brownville, ME 04414-3107 Ph: (207) 538-3700 |
Gerie Lynn Glidden, APRN FNP BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 180 Main Rd, Brownville, ME 04414 Phone: 805-341-6956 |
April M Walker, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 180 Main Rd, Brownville, ME 04414 Phone: 207-538-3700 Fax: 207-528-2595 |