| Ms Kristen Laramie Wagoner, NP | |
|
500 Salem St, Wilmington, MA 01887-1200 | |
| (978) 988-6000 | |
| (978) 657-4169 |
| Full Name | Ms Kristen Laramie Wagoner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 500 Salem St, Wilmington, Massachusetts |
| 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 |
|---|---|---|---|
| 1407104060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2270616 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Winchester Hospital | Winchester, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Winchester Emergency Medical Associates Pc | 5799755385 | 15 |
| Entity Name | Winchester Emergency Medical Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831131473 PECOS PAC ID: 5799755385 Enrollment ID: O20040820000555 |
| Entity Name | Beth Israel Deaconess Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548202641 PECOS PAC ID: 8123936119 Enrollment ID: O20041001000827 |
| Entity Name | Winchester Physician Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184606865 PECOS PAC ID: 4486540994 Enrollment ID: O20060215000452 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kristen Laramie Wagoner, NP Po Box 760, Winchester, MA 01890-4260 Ph: (781) 756-7273 | Ms Kristen Laramie Wagoner, NP 500 Salem St, Wilmington, MA 01887-1200 Ph: (978) 988-6000 |
Anthony Justin Tomich, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 222 Main St, Wilmington, MA 01887 Phone: 866-389-2727 | |
Craig James Hanley, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 260 Fordham Rd Ste A900, Wilmington, MA 01887 Phone: 978-315-1011 | |
Courtney King, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Salem St, Wilmington, MA 01887 Phone: 978-664-1990 | |
John Michael Jenkins, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 234 Main St, Wilmington, MA 01887 Phone: 978-909-4482 | |
Jeffrey Keating, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 222 Main St, Wilmington, MA 01887 Phone: 855-389-2727 | |
Annika Oberg, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 222 Main St, Wilmington, MA 01887 Phone: 978-658-3377 | |
Sothea Miranda, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 222 Main St, Wilmington, MA 01887 Phone: 978-658-3377 |