Ryan Wagner, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant" in Weimar, California. He graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Newstart Medical Group Inc and his current practice location is
20601 W Paoli Ln, Weimar, California. You can reach out to his office (for appointments etc.) via phone at
(530) 637-4025.
Ryan Wagner is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1871210021.
Provider's Profile
| Full Name | Ryan Wagner |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 4 Years |
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| Location | 20601 W Paoli Ln, Weimar, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ryan Wagner graduated from nursing school in 2022
NPI Data:
- NPI Number: 1871210021
- Provider Enumeration Date: 10/27/2022
- Last Update Date: 10/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 3779954268
- Enrollment ID: I20230119002980
Medical Identifiers
Medical identifiers for Ryan Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871210021 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Newstart Medical Group Inc | 8628299799 | 24 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ryan Wagner is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Ryan Wagner, PHYSICIAN ASSISTANT
1138 La Grande Ave,
Napa, CA 94558-2168
Ph: () - | Ryan Wagner, PHYSICIAN ASSISTANT
20601 W Paoli Ln,
Weimar, CA 95736
Ph: (530) 637-4025 |
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