| Melissa Dalton Wagner, APRN | |
|
34 Medical Park Blvd, Petersburg, VA 23805-9283 | |
| (804) 609-0175 | |
| (804) 835-5999 |
| Full Name | Melissa Dalton Wagner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 34 Medical Park Blvd, Petersburg, Virginia |
| 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 |
|---|---|---|---|
| 1174992382 | NPI | - | NPPES |
| 3009798 | Other | KY | APRN LICENSE NUMBER |
| 7100385910 | Medicaid | KY | |
| F0915844 | Other | AANP CERTIFICATION NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024184994 (Virginia) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 3009798 (Kentucky) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Spero Health Of Virginia Llc | 5193102788 | 7 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Dalton Wagner, APRN 34 Medical Park Blvd, Petersburg, VA 23805-9283 Ph: (804) 609-0175 | Melissa Dalton Wagner, APRN 34 Medical Park Blvd, Petersburg, VA 23805-9283 Ph: (804) 609-0175 |
Olivia Houchins, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 269 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-861-0700 | |
Rasha Kafi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 263 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-431-1100 Fax: 804-862-1094 | |
Linda P. Whiteley, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Halifax St, Petersburg, VA 23803 Phone: 804-862-1652 | |
Jocelyn L Burls, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 321c Poplar Dr, Petersburg, VA 23805 Phone: 804-733-5591 | |
Chiquita Michone Thomas-jackson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3916 S Crater Rd, Petersburg, VA 23805 Phone: 804-526-4300 | |
Ms. Erica Lynn Bagby, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 321c Poplar Dr, Petersburg, VA 23805 Phone: 804-733-5591 Fax: 804-733-3506 |