| Yvonne M Wagner, RN, ANP | |
|
2122 Highway 71 S, 101, Columbus, TX 78934-3011 | |
| (979) 732-2318 | |
| (979) 732-2310 |
| Full Name | Yvonne M Wagner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 2122 Highway 71 S, Columbus, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013929744 | NPI | - | NPPES |
| 112272302 | Medicaid | TX | |
| 112272305 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 231032 (Texas) | Primary |
| Entity Name | Columbus Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740238641 PECOS PAC ID: 1557250446 Enrollment ID: O20040417000423 |
| Mailing Address | Practice Location Address |
|---|---|
| Yvonne M Wagner, RN, ANP 2122 Highway 71 S, 101, Columbus, TX 78934-3011 Ph: (979) 732-2318 | Yvonne M Wagner, RN, ANP 2122 Highway 71 S, 101, Columbus, TX 78934-3011 Ph: (979) 732-2318 |
Jessica A Radley, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 Shult Dr, Columbus, TX 78934 Phone: 979-732-5794 Fax: 979-732-5795 | |
Kelly Randermann, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2122 Highway 71 S # 101, Columbus, TX 78934 Phone: 979-733-0095 Fax: 979-733-0665 | |
Mrs. Kristy Gail Nelson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 Shult Dr, Columbus, TX 78934 Phone: 979-493-7720 | |
Mrs. Karolyn Sue Mau, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2545 Brunes Mill Rd, Columbus, TX 78934 Phone: 979-733-4022 |