| Pamela E Wagner, CRNA | |
|
8100 Northland Dr, Bloomington, MN 55431-4800 | |
| (952) 831-8742 | |
| Not Available |
| Full Name | Pamela E Wagner |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 22 Years |
| Location | 8100 Northland Dr, Bloomington, Minnesota |
| 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 |
|---|---|---|---|
| 1104880418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1267 (Minnesota) | Primary |
| 163W00000X | Registered Nurse | 1298824 (Minnesota) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Twin Cities Anesthesia Associates Pc | 9133491194 | 72 |
| Allina Health System | 4587573613 | 3844 |
| Entity Name | Metropolitan Anesthesia Network LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558314427 PECOS PAC ID: 5698689123 Enrollment ID: O20031118000579 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Entity Name | Tria Orthopaedic Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053483503 PECOS PAC ID: 3173570561 Enrollment ID: O20050407000604 |
| Entity Name | Certified Anesthesia Care Co |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699736348 PECOS PAC ID: 9436439114 Enrollment ID: O20161215001488 |
| Entity Name | Twin Cities Anesthesia Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982125456 PECOS PAC ID: 9133491194 Enrollment ID: O20170825001436 |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela E Wagner, CRNA 8170 33rd Ave S, Mailstop 21110q, Bloomington, MN 55425-4516 Ph: (952) 883-6000 | Pamela E Wagner, CRNA 8100 Northland Dr, Bloomington, MN 55431-4800 Ph: (952) 831-8742 |
Mary Kay Hanson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8100 Northland Dr, Bloomington, MN 55431 Phone: 952-831-8742 Fax: 952-831-1626 |
Karen Driessen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8100 Northland Dr, Bloomington, MN 55431 Phone: 952-831-8742 |
Melissa D Thornton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8100 Northland Dr, Bloomington, MN 55431 Phone: 952-831-8742 |
Chris Gross, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8100 Northland Dr, Bloomington, MN 55431 Phone: 952-831-8742 |
Daniel M Pogatchnik, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8100 Northland Dr, Bloomington, MN 55431 Phone: 952-831-8742 |
Constance Marie Rutledge, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8100 Northland Dr, Bloomington, MN 55431 Phone: 952-831-8742 |
Marc Alexander Dean, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8100 Northland Dr, Bloomington, MN 55431 Phone: 952-831-8742 |