| Mona H Wagner, CRNA | |
|
1600 Sw Archer Rd, Gainesville, FL 32610-3003 | |
| (352) 273-8610 | |
| Not Available |
| Full Name | Mona H Wagner |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 43 Years |
| Location | 1600 Sw Archer Rd, Gainesville, Florida |
| 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 |
|---|---|---|---|
| 1093881666 | NPI | - | NPPES |
| 0207026000 | Medicaid | WV | |
| 74008822 | Medicaid | KY | |
| 2107900 | Medicaid | OH | |
| DF0767 | Other | WV | RR MEDICARE |
| 270052997002 | Other | WV | TRICARE |
| P00001160 | Other | WV | RR MEDICARE |
| 23492135300 | Other | OH | W/COMP |
| DA0096 | Other | WV | RR MEDICARE |
| 01706470 | Other | WV | MSBCBS GROUP |
| 117174600 | Medicaid | FL | |
| 001721837 | Other | WV | BCBS |
| 0573001000 | Medicaid | WV | |
| 1045609 | Other | WV | W/COMP |
| P00241517 | Other | WV | RR MEDICARE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Clinical Practice Association Inc | 0345146254 | 1658 |
| Florida Hospital Healthcare Partners, Inc | 7012266836 | 510 |
| Entity Name | Florida Clinical Practice Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
| Entity Name | Florida Hospital Healthcare Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780100529 PECOS PAC ID: 7012266836 Enrollment ID: O20180831000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Mona H Wagner, CRNA Po Box 714960, Columbus, OH 43271-4960 Ph: (205) 322-1808 | Mona H Wagner, CRNA 1600 Sw Archer Rd, Gainesville, FL 32610-3003 Ph: (352) 273-8610 |
William Craig Hicks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-6438 | |
Henry Fontillas Patalinghug, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-6438 | |
Mrs. Victoria Chyvone Mejia, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6500 W Newberry Rd, Gainesville, FL 32605 Phone: 352-333-4000 | |
J'woin Maalik Harrison, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-7906 | |
Mr. Robert M Clonan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 800-642-1999 Fax: 248-646-0361 | |
Patricia Marie Petzold, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 800-642-1999 Fax: 248-646-0361 | |
Robert Michael Guillot, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-8012 |