| Ms Dara Marie Wagner, APN-C | |
|
180 S Main St, Canton, IL 61520-2608 | |
| (309) 647-0201 | |
| Not Available |
| Full Name | Ms Dara Marie Wagner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 180 S Main St, Canton, Illinois |
| 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 |
|---|---|---|---|
| 1063046464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209020976 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209020976 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Graham Hospital Association | Canton, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Graham Hospital Association | 2769375021 | 112 |
| Entity Name | Graham Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780692087 PECOS PAC ID: 2769375021 Enrollment ID: O20040510000873 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Dara Marie Wagner, APN-C 180 S Main St, Canton, IL 61520-2608 Ph: (309) 647-0201 | Ms Dara Marie Wagner, APN-C 180 S Main St, Canton, IL 61520-2608 Ph: (309) 647-0201 |
Tracy Ann Iversen, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 W Walnut St, Canton, IL 61520 Phone: 309-647-0201 | |
Jessica Lynn Bugos, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 | |
Cody J. Gibbs, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-649-6880 | |
Stephanie Barnes, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-649-6880 | |
Theresa Bankert, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 700 E Oak St, Canton, IL 61520 Phone: 309-647-1134 | |
Tessa R Schifferer, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 210 W Walnut St, Canton, IL 61520 Phone: 309-647-5240 |