Linda Wagner, RN is a
Contractor - Home Modifications based in Homer, Alaska. Linda Wagner is licensed to practice in Alaska (license number HC2563) and her current practice location is
451 Sterling Hwy, Homer, Alaska. She can be reached at her office (for appointments etc.) via phone at
(907) 235-0369.
NPI number for Linda Wagner is 1710018312 and her current mailing address is 4300 Bartlett St, Homer, Alaska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710018312.
Provider's Profile
| Full Name | Linda Wagner |
|---|
| Gender | Female |
|---|
| Speciality | Contractor - Home Modifications |
|---|
| Location | 451 Sterling Hwy, Homer, Alaska |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1710018312
- Provider Enumeration Date: 03/08/2007
- Last Update Date: 09/11/2025
Medical Identifiers
Medical identifiers for Linda Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710018312 | NPI | - | NPPES |
| PCG519A | Medicaid | AK | |
| HH2711 | Medicaid | AK | |
| NA3799 | Medicaid | AK | |
| CMG799 | Medicaid | AK | |
| HC2563 | Medicaid | AK | |
| MSO272 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | HH2711 (Alaska) | Secondary |
| 163WH0200X | Registered Nurse - Home Health | HH2711 (Alaska) | Secondary |
| 171M00000X | Case Manager/care Coordinator | CMG799 (Alaska) | Secondary |
| 171WH0202X | Contractor - Home Modifications | HC2563 (Alaska) | Primary |
| 372500000X | Chore Provider | HC2563 (Alaska) | Secondary |
| 3747P1801X | Technician - Personal Care Attendant | PCG519A (Alaska) | Secondary |
| 374U00000X | Home Health Aide | HH2711 (Alaska) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Linda Wagner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Linda Wagner, RN
4300 Bartlett St,
Homer, AK 99603-7005
Ph: (907) 235-0369 | Linda Wagner, RN
451 Sterling Hwy,
Homer, AK 99603-7440
Ph: (907) 235-0369 |
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