Mary L Wangen, PA - Medicare Physician Assistant in Roseville, MN

  1. Home
  2. Physician Assistant
  3. MN
  4. Roseville
Mary L Wangen, PA is a medicare enrolled "Physician Assistant" in Roseville, Minnesota. She graduated from nursing school in 2009 and has 17 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Allina Health System and her current practice location is 2355 Highway 36 W Ste 100, Roseville, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 292-2000.

Mary L Wangen is licensed to practice in Minnesota (license number 10887) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760716310.

Contact Information

Mary L Wangen, PA
2355 Highway 36 W Ste 100,
Roseville, MN 55113-3905
(651) 292-2000
Not Available

Map and Direction




Provider's Profile

Full NameMary L Wangen
GenderFemale
SpecialityPhysician Assistant
Experience17 Years
Location2355 Highway 36 W Ste 100, Roseville, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mary L Wangen graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1760716310
  • Provider Enumeration Date: 09/30/2009
  • Last Update Date: 07/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8123166014
  • Enrollment ID: I20110415000560

Medical Identifiers

Medical identifiers for Mary L Wangen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760716310NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 10887 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
United HospitalSaint paul, MNHospital
Mercy HospitalCoon rapids, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Allina Health System45875736133844

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mary L Wangen allows following entities to bill medicare on her behalf.
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811077175
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameFairview Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516
Entity NameMidwest Radiology Outpatient Imaging LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720059264
PECOS PAC ID: 3870495591
Enrollment ID: O20040123000119
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460
Entity NameLac Qui Parle Clinic of Madison Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144266156
PECOS PAC ID: 5799727707
Enrollment ID: O20050531000484
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548
Entity NameMadison Healthcare Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942246848
PECOS PAC ID: 9638080187
Enrollment ID: O20160809000563
Entity NameCarris Health - Redwood LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265914048
PECOS PAC ID: 7911259619
Enrollment ID: O20181129001082
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457657249
PECOS PAC ID: 4587573613
Enrollment ID: O20221213001713

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. Mary L Wangen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary L Wangen, PA
2355 Highway 36 W Ste 100,
Roseville, MN 55113-3905

Ph: (651) 292-2000		Mary L Wangen, PA
2355 Highway 36 W Ste 100,
Roseville, MN 55113-3905

Ph: (651) 292-2000

Reviews and Comments


Physician Assistant Nurses in Roseville, MN

Carly Jo Hennek, PA-C
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 2720 Fairview Ave N Ste 200, Roseville, MN 55113
Phone: 651-633-6883    Fax: 651-331-3459
Amanda Joanne Schmidt, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1515 County Road B W, Roseville, MN 55113
Phone: 866-389-2727    
Zachary Friederichs,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2355 Hwy 36 W, Ste. 100, Roseville, MN 55113
Phone: 651-292-2000    
Erin Lynn Benedict, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1955 County Road B2 W, Roseville, MN 55113
Phone: 651-635-0054    Fax: 651-635-0949
Tiffany J Mellang,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2355 Highway 36 W Ste 100, Roseville, MN 55113
Phone: 651-292-2000    
Austin James Heneman, PA-C
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 2720 Fairview Ave N Ste 200, Roseville, MN 55113
Phone: 651-633-6883    Fax: 651-331-3459
Kelsey Kathleen Strub,
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 2720 Fairview Ave N Ste 200, Roseville, MN 55113
Phone: 952-452-6503    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.