| Adam J Vagner, | |
|
211 N Market St, Sparta, IL 62286-2081 | |
| (618) 443-2600 | |
| Not Available |
| Full Name | Adam J Vagner |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 211 N Market St, Sparta, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437943610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 242.008182 (Illinois) | Primary |
| Provider Name | Empowerme Rehabilitation Illinois Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1679098263 PECOS PAC ID: 2365718277 Enrollment ID: O20171020001353 |
| Provider Name | Empowerme Wellness Kansas City Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174118103 PECOS PAC ID: 9830504836 Enrollment ID: O20210317001954 |
| Mailing Address | Practice Location Address |
|---|---|
| Adam J Vagner, 505 Arbor Dr, Carterville, IL 62918-1047 Ph: (618) 303-9656 | Adam J Vagner, 211 N Market St, Sparta, IL 62286-2081 Ph: (618) 443-2600 |
Selina Alexandra Najim, M.S Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 211 N Market St, Sparta, IL 62286 Phone: 815-458-5317 | |
Shea Petrowske, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 203 Dean Ave, Sparta, IL 62286 Phone: 618-443-5331 | |
Ashley Suzanne Eggemeyer, MS CFY-SLP/L Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9786 Rosewood Ln, Sparta, IL 62286 Phone: 618-615-3156 | |
Taylor Harbaugh, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 203 Dean Ave, Sparta, IL 62286 Phone: 618-443-5331 | |
Kristin Lane Beninati, M.S., CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 211 N Market St, Sparta, IL 62286 Phone: 618-713-1876 | |
Kaelyn Noelle Rubach, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 203 Dean Ave, Sparta, IL 62286 Phone: 618-615-7932 |