| Jennifer Ann Wagner, NP | |
|
255 Fifth Avenue, Nyack, NY 10960-1824 | |
| (845) 362-1750 | |
| (845) 362-1577 |
| Full Name | Jennifer Ann Wagner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 21 Years |
| Location | 255 Fifth Avenue, Nyack, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346459591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 334755 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Nyack Hospital | Nyack, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| White Plains Medical Diagnostic Services, Pc | 5395918932 | 80 |
| Entity Name | Highland Medical P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376600304 PECOS PAC ID: 2668370420 Enrollment ID: O20031230000737 |
| Entity Name | White Plains Medical Diagnostic Services, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689955338 PECOS PAC ID: 5395918932 Enrollment ID: O20111027000238 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Ann Wagner, NP 255 Fifth Avenue, Nyack, NY 10960-1824 Ph: (845) 362-1750 | Jennifer Ann Wagner, NP 255 Fifth Avenue, Nyack, NY 10960-1824 Ph: (845) 362-1750 |
Ms. Deborah Telem, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 258 High Ave, Nyack, NY 10960 Phone: 845-353-1441 Fax: 845-353-1987 | |
Ms. Rochelle Paula Kepes, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 302 Piermont Ave, Apt 1-d, Nyack, NY 10960 Phone: 845-353-8284 | |
Mona Perez, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 160 N Midland Ave, Nyack Hospital, Nyack, NY 10960 Phone: 845-348-2345 Fax: 973-251-1109 | |
Ashley Carr Lewinn, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7 N Broadway, Nyack, NY 10960 Phone: 917-590-3727 | |
Dr. Mellen Lovrin, DRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 85 N Broadway, Nyack, NY 10960 Phone: 845-353-6780 Fax: 845-353-6780 | |
Heidi Brenner, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 258 High Ave, Nyack, NY 10960 Phone: 845-353-1441 Fax: 845-353-1987 |