| Benjamin Wagner, | |
|
5800 Monroe St Ste A9, Sylvania, OH 43560-2208 | |
| (419) 452-0495 | |
| Not Available |
| Full Name | Benjamin Wagner |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 5800 Monroe St Ste A9, Sylvania, 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 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.0037789 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Toledo Pain Services, Pll | 8921912189 | 19 |
| Viaquest Psychiatric And Behavioral Solutions Llc | 1153358486 | 118 |
| Toledo Pain Services, Pll | 8921912189 | 19 |
| 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, 5800 Monroe St Ste A9, Sylvania, OH 43560-2208 Ph: (419) 452-0495 | Benjamin Wagner, 5800 Monroe St Ste A9, Sylvania, OH 43560-2208 Ph: (419) 452-0495 |
Amy Cramer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5700 Monroe St, Suitie 111, Sylvania, OH 43560 Phone: 567-585-0005 Fax: 567-585-0007 |
Kristi Lorenc, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6400 Monroe St, Sylvania, OH 43560 Phone: 844-436-4987 Fax: 866-390-9167 |
Andrea Tabbert, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5300 Harroun Rd Ste 201, Sylvania, OH 43560 Phone: 419-885-5563 Fax: 419-885-5439 |
Elisha Stroder, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5300 Harroun Rd Ste 201, Sylvania, OH 43560 Phone: 419-885-5563 Fax: 419-885-5439 |
Mrs. Gretchen Lee Hoover, RN MSN FNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4121 N King Rd, Kingston Care Center, Sylvania, OH 43528 Phone: 419-517-8200 Fax: 419-517-8208 |
Jenna Heinz, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7135 Sylvania Ave, Building 2, Suite A, Sylvania, OH 43560 Phone: 419-479-5392 |
Nayef Mazloum, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5200 Harroun Rd, Sylvania, OH 43560 Phone: 567-585-0380 Fax: 567-585-0381 |