Mrs Caitlyn Clare Wagenbach, PA-C is a medicare enrolled "Physician Assistant" in Peoria Heights, Illinois. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Springfield Clinic, Llp and her current practice location is
4616 N Prospect Rd, Peoria Heights, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 528-7541.
Mrs Caitlyn Clare Wagenbach is licensed to practice in * (Not Available) (license number ) 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 1346856846.
Provider's Profile
| Full Name | Mrs Caitlyn Clare Wagenbach |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 4 Years |
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| Location | 4616 N Prospect Rd, Peoria Heights, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Caitlyn Clare Wagenbach graduated from nursing school in 2021
NPI Data:
- NPI Number: 1346856846
- Provider Enumeration Date: 09/20/2020
- Last Update Date: 10/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 0840672531
- Enrollment ID: I20220727002651
Medical Identifiers
Medical identifiers for Mrs Caitlyn Clare Wagenbach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1346856846 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Springfield Clinic, Llp | 0547166076 | 655 |
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. Mrs Caitlyn Clare Wagenbach 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 |
Mrs Caitlyn Clare Wagenbach, PA-C Po Box 19248, Springfield, IL 62794-9248 Ph: (217) 528-7541 | Mrs Caitlyn Clare Wagenbach, PA-C 4616 N Prospect Rd, Peoria Heights, IL 61616-6460 Ph: (217) 528-7541 |
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