| Jennifer Wagner, NP | |
|
37 N Chemung St, Waverly, NY 14892-1211 | |
| (607) 565-2861 | |
| Not Available |
| Full Name | Jennifer Wagner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 37 N Chemung St, Waverly, 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 |
|---|---|---|---|
| 1508296773 | NPI | - | NPPES |
| 02693896 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | F340629 (New York) | Primary |
| Entity Name | Guthrie Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134178635 PECOS PAC ID: 6002728656 Enrollment ID: O20031103000220 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Wagner, NP 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Jennifer Wagner, NP 37 N Chemung St, Waverly, NY 14892-1211 Ph: (607) 565-2861 |
Rachel Cloke, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 29 N Chemung St, Waverly, NY 14892 Phone: 607-565-9975 | |
Mrs. Nancy S. Kemp, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 29 N Chemung St, Waverly, NY 14892 Phone: 670-565-9975 Fax: 607-565-2683 | |
Melissa Traub, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 37 N Chemung St, Waverly, NY 14892 Phone: 607-565-5861 Fax: 607-565-6314 | |
Ms. Patricia O. Davis, NPP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 80 William Donnelly Parkway, Waverly, NY 14892 Phone: 607-565-9594 |