| Mrs Kenna Lea Wagner, MSN, APRN, FNP-BC | |
|
461 Schoolview Street, Elizabeth, WV 26143-2614 | |
| (304) 275-3117 | |
| (304) 275-7255 |
| Full Name | Mrs Kenna Lea Wagner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 461 Schoolview Street, Elizabeth, West 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 |
|---|---|---|---|
| 1730741158 | NPI | - | NPPES |
| 0397748 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 025229 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 103969 (West Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wirt County Health Services Association, Inc | 7810806577 | 29 |
| Wirt County Health Services Association, Inc | 7810806577 | 29 |
| Entity Name | Wirt County Health Services Association, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366762825 PECOS PAC ID: 7810806577 Enrollment ID: O20140117000516 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kenna Lea Wagner, MSN, APRN, FNP-BC Po Box 609, Elizabeth, WV 26143-0609 Ph: (304) 275-3117 | Mrs Kenna Lea Wagner, MSN, APRN, FNP-BC 461 Schoolview Street, Elizabeth, WV 26143-2614 Ph: (304) 275-3117 |
Kimberly A Jividen, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 483 Court St, Elizabeth, WV 26143 Phone: 304-275-3301 Fax: 304-275-4798 | |
Charlotte L Lantz, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 Elizabeth Pike, Elizabeth, WV 26143 Phone: 304-275-3301 Fax: 304-275-4798 | |
Amanda Lynch, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 483 Court Street, Elizabeth, WV 26143 Phone: 304-275-3301 Fax: 304-275-4798 | |
Sarah Smith, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 483 Court St, Elizabeth, WV 26143 Phone: 304-275-3301 | |
Kaitlin Marie Davis, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 483 Court St, Elizabeth, WV 26143 Phone: 304-275-3301 | |
Stacey N Mills, C-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 483 Court Street, Elizabeth, WV 26143 Phone: 304-275-3301 Fax: 304-275-4798 |