| Danielle Taylor Wagner, PA | |
|
315 S Manning Blvd, Medical Imaging Department, Albany, NY 12208-1707 | |
| (518) 525-1852 | |
| Not Available |
| Full Name | Danielle Taylor Wagner |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 315 S Manning Blvd, Albany, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588013288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | Ellis Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487644993 PECOS PAC ID: 5890607410 Enrollment ID: O20031103000406 |
| Entity Name | St. Peter's Health Partners Medical Associates, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750626834 PECOS PAC ID: 6103061189 Enrollment ID: O20130321000567 |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle Taylor Wagner, PA Po Box 14890, Albany, NY 12212-4890 Ph: (518) 525-5634 | Danielle Taylor Wagner, PA 315 S Manning Blvd, Medical Imaging Department, Albany, NY 12208-1707 Ph: (518) 525-1852 |
Karen L Bertasso, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 121 Everett Rd, Albany, NY 12205 Phone: 518-489-2663 |
Sean William Leahy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1367 Washington Ave Ste 200, Albany, NY 12206 Phone: 518-489-2999 Fax: 518-489-5933 |
Brianna Samson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 47 New Scotland Ave, Albany, NY 12208 Phone: 518-262-5332 |
Pavel Voronko, MS,PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 121 Everett Rd, Albany, NY 12205 Phone: 518-453-9088 Fax: 518-453-9088 |
Elizabeth Howard Mahan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5 Palisades Dr Ste 100, Albany, NY 12205 Phone: 518-438-4496 |
Nicoletta Serafina Pacilli, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 S Manning Blvd, Albany, NY 12208 Phone: 518-525-5634 |
Taylor Sekyra, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 47 New Scotland Ave, Albany, NY 12208 Phone: 518-262-5521 |