| Meredith Wagner, PA | |
|
750 East Adams St, Syracuse, NY 13210 | |
| (315) 464-4363 | |
| (315) 464-8690 |
| Full Name | Meredith Wagner |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 750 East Adams St, Syracuse, 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 |
|---|---|---|---|
| 1619674066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 032946 (New York) | Primary |
| Entity Name | Upstate Emergency Medicine, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275589582 PECOS PAC ID: 2466443494 Enrollment ID: O20040519001106 |
| Mailing Address | Practice Location Address |
|---|---|
| Meredith Wagner, PA 750 East Adams St, Syracuse, NY 13210 Ph: (315) 464-4363 | Meredith Wagner, PA 750 East Adams St, Syracuse, NY 13210 Ph: (315) 464-4363 |
Greta Jasinski, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 90 Presidential Plz, Syracuse, NY 13202 Phone: 315-464-4470 |
Ruth Louise Van Der Heide, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 739 Irving Ave Ste 600, Syracuse, NY 13210 Phone: 315-701-2550 Fax: 315-701-2551 |
Sarah Bowler, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 750 East Adams Street, Syracuse, NY 13210 Phone: 315-464-1800 Fax: 315-464-6238 |
Grace Warrington, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-5540 |
Alex Crysler, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 E Genesee St Ste 500, Syracuse, NY 13210 Phone: 315-471-8388 |
Matthew D Hood, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5719 Widewaters Pkwy, Syracuse, NY 13214 Phone: 315-251-3100 Fax: 315-449-9923 |
Jonathan Conlon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 725 Irving Ave Ste 314, Syracuse, NY 13210 Phone: 315-464-9360 |