| Salem Michelle Wagner, CRNA | |
|
1124 W 21st St, Andover, KS 67002-5500 | |
| (785) 392-7620 | |
| (316) 300-4040 |
| Full Name | Salem Michelle Wagner |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 1124 W 21st St, Andover, Kansas |
| 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 |
|---|---|---|---|
| 1881968535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 13-83024-122 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kansas Medical Center Llc | Andover, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kansas Medical Center Llc | 2668476862 | 42 |
| Entity Name | Kansas Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255380127 PECOS PAC ID: 2668476862 Enrollment ID: O20061109000659 |
| Entity Name | Advanced Practice Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801499553 PECOS PAC ID: 8729490370 Enrollment ID: O20201223002226 |
| Mailing Address | Practice Location Address |
|---|---|
| Salem Michelle Wagner, CRNA 1124 W 21st St, Andover, KS 67002-5500 Ph: (785) 392-7620 | Salem Michelle Wagner, CRNA 1124 W 21st St, Andover, KS 67002-5500 Ph: (785) 392-7620 |
Terry Keith Blue, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1108 E Waterview Dr, Andover, KS 67002 Phone: 316-425-8153 Fax: 316-425-8153 | |
Jeff Andrew Carpenter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1124 W 21st St, Andover, KS 67002 Phone: 316-300-4000 | |
Ms. Sharon L Barocco, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2117 S Andover Rd, Andover, KS 67002 Phone: 316-733-8166 | |
John Phillip Weller, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1124 W 21st St, Andover, KS 67002 Phone: 316-300-4000 | |
Caitlin Carpenter, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1124 W 21st St, Andover, KS 67002 Phone: 316-440-3200 | |
Mrs. Pegah Vahdat Harlan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 945 W Threewood Ct, Andover, KS 67002 Phone: 515-339-6994 |