Michelle Ann Wanner, PA-C in Bloomington, MN - Medicare Physician Assistant

Michelle Ann Wanner, PA-C is a medicare enrolled "Physician Assistant" in Bloomington, Minnesota. Her current practice location is 4801 W 81st St Ste 112, Bloomington, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 345-3000.

Michelle Ann Wanner is licensed to practice in Minnesota (license number 10360) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1639220080.

Contact Information

	Michelle Ann Wanner, PA-C
	4801 W 81st St Ste 112, Bloomington, MN 55437-1111
	(952) 345-3000
	(952) 345-6789

Map and Direction

Provider's Profile

Full Name	Michelle Ann Wanner
Gender	Female
Speciality	Physician Assistant
Location	4801 W 81st St Ste 112, Bloomington, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639220080
Provider Enumeration Date: 01/14/2007
Last Update Date: 03/19/2025

Medicare PECOS Information:

PECOS PAC ID: 5890877765
Enrollment ID: I20080130000786

Medical Identifiers

Medical identifiers for Michelle Ann Wanner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639220080	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	3553 (Arizona)	Secondary
363AM0700X	Physician Assistant - Medical	10360 (Minnesota)	Secondary
363AM0700X	Physician Assistant - Medical	2553-23 (Wisconsin)	Secondary
363A00000X	Physician Assistant	10360 (Minnesota)	Primary

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. Michelle Ann Wanner 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 Address	Practice Location Address
Michelle Ann Wanner, PA-C 4801 W 81st St Ste 112, Bloomington, MN 55437-1111 Ph: (952) 913-2907	Michelle Ann Wanner, PA-C 4801 W 81st St Ste 112, Bloomington, MN 55437-1111 Ph: (952) 345-3000

Reviews and Comments

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Michelle Ann Wanner, PA-C - Medicare Physician Assistant in Bloomington, MN