Benjamin Wagner, | |
3400 Meijer Dr, Toledo, OH 43617-1166 | |
(419) 843-1370 | |
Not Available |
Full Name | Benjamin Wagner |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 3400 Meijer Dr, Toledo, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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 |
Entity Name | Toledo Pain Services, Pll |
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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 |
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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 |
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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: Medicare Enrolled 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 | |
Natalie Rae Marienthal, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled 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 | |
Michelle Michael, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3350 Collingwood Blvd, Toledo, OH 43610 Phone: 419-255-9585 |