| Benjamin Wagner, | |
|
3400 Meijer Dr, Toledo, OH 43617-1166 | |
| (419) 843-1370 | |
| Not Available |
| Full Name | Benjamin Wagner |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 3400 Meijer Dr, Toledo, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811616782 | NPI | - | NPPES |
| 2910854 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.0037789 (Ohio) | Primary |
| 163W00000X | Registered Nurse | RN.473174 (Ohio) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Viaquest Psychiatric And Behavioral Solutions Llc | 1153358486 | 91 |
| Toledo Pain Services, Pll | 8921912189 | 16 |
| Entity Name | Toledo Pain Services, Pll |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356339857 PECOS PAC ID: 8921912189 Enrollment ID: O20031113000215 |
| Entity Name | Viaquest Psychiatric & Behavioral Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942451216 PECOS PAC ID: 1153358486 Enrollment ID: O20120926000142 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Wagner, 525 Metro Pl N Ste 300, Dublin, OH 43017-5320 Ph: (855) 289-1722 | Benjamin Wagner, 3400 Meijer Dr, Toledo, OH 43617-1166 Ph: (419) 843-1370 |
Jennifer Dawn Trost, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-4360 Fax: 419-251-5117 | |
Tearra Breeze Obafolahan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6916 Cloister Rd, Toledo, OH 43617 Phone: 567-298-2344 | |
Rocio Crosby, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-2878 | |
Lisa Bainter, APRN-NPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2109 Hughes Dr Ste 760, Toledo, OH 43606 Phone: 419-291-7555 Fax: 419-479-2696 | |
Janille Ann Blaylock, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-696-5555 | |
Natalie Rae Marienthal, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 W Central Ave Ste 100a, Toledo, OH 43606 Phone: 419-291-8400 | |
Karen Caputo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2142 N Cove Blvd, Toledo, OH 43606 Phone: 419-291-4101 |