| Stacy Smith Wagner, MPT | |
|
1481 Chapel St, New Haven, CT 06511 | |
| (203) 776-9110 | |
| (203) 777-5879 |
| Full Name | Stacy Smith Wagner |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 27 Years |
| Location | 1481 Chapel St, New Haven, Connecticut |
| 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 |
|---|---|---|---|
| 1801188750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 9052 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ptsma Inc | 7911800180 | 101 |
| Provider Name | Orthopaedic Surgeons Pc |
|---|---|
| Provider Type | Part B Supplier - Other Medical Care Group |
| Provider Identifiers | NPI Number: 1801002696 PECOS PAC ID: 1052597002 Enrollment ID: O20110510000048 |
| Provider Name | Ptsma Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1033773759 PECOS PAC ID: 7911800180 Enrollment ID: O20190712000494 |
| Provider Name | Madison Rehabilitation Center Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1750350245 PECOS PAC ID: 8628051299 Enrollment ID: O20210119000401 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Smith Wagner, MPT 1481 Chapel St, New Haven, CT 06511-4305 Ph: (203) 776-9110 | Stacy Smith Wagner, MPT 1481 Chapel St, New Haven, CT 06511 Ph: (203) 776-9110 |
Dr. Shannon Mellon, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 York St, New Haven, CT 06510 Phone: 860-302-2686 | |
Lauren Mollow, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1354 Chapel St, New Haven, CT 06511 Phone: 203-867-8374 Fax: 203-867-8366 | |
Mr. Marc I Robertson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 339 Eastern St, Suite 317, New Haven, CT 06513 Phone: 203-468-7002 Fax: 203-468-7078 | |
Dr. Emily Rose Guedes, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 230 George St, New Haven, CT 06510 Phone: 203-498-5980 Fax: 203-498-5999 | |
Kimberly Ann Reilly, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Chapel St, New Haven, CT 06511 Phone: 203-789-3441 | |
Vladimir Kovac, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1354 Chapel St, New Haven, CT 06511 Phone: 203-867-8374 Fax: 203-867-8366 | |
Margaret Thomas, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 230 George St, New Haven, CT 06510 Phone: 203-498-5980 Fax: 203-498-5999 |