Jennifer A Wagner, MD - Medicare Pediatrics in Marysville, WA

Jennifer A Wagner, MD is a medicare enrolled "Pediatrics" physician in Marysville, Washington. Her current practice location is 4420 76th St Ne, Marysville, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 651-7490.

Jennifer A Wagner is licensed to practice in Washington (license number MD61398282) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1992022230.

Contact Information

Jennifer A Wagner, MD
4420 76th St Ne,
Marysville, WA 98270-3726
(360) 651-7490
Not Available



Physician's Profile

Full NameJennifer A Wagner
GenderFemale
SpecialityPediatrics
Location4420 76th St Ne, Marysville, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992022230
  • Provider Enumeration Date: 04/27/2010
  • Last Update Date: 03/28/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9032342423
  • Enrollment ID: I20140509001734

Medical Identifiers

Medical identifiers for Jennifer A Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992022230NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 04-39770 (Kansas)Secondary
208000000XPediatrics 26711 (Nebraska)Secondary
208000000XPediatrics 2017024333 (Missouri)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
208000000XPediatrics MD61398282 (Washington)Primary

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. Jennifer A 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 AddressPractice Location Address
Jennifer A Wagner, MD
4420 76th St Ne,
Marysville, WA 98270-3726

Ph: (360) 651-7490
Jennifer A Wagner, MD
4420 76th St Ne,
Marysville, WA 98270-3726

Ph: (360) 651-7490

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Pediatrics Doctors in Marysville, WA

Dr. Sarah Eva Bergman Lewis, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2901 174th St Ne, Marysville, WA 98271
Phone: 360-454-1900    
Sophia Shiau, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4420 76th St Ne, Marysville, WA 98270
Phone: 360-651-7492    Fax: 360-651-7482
Michael Su,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2901 174th St Ne, Marysville, WA 98271
Phone: 360-454-1900    Fax: 360-454-1991
Denise Shushan, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4420 76th St Ne, Marysville, WA 98270
Phone: 360-651-7482    Fax: 360-651-7482
Minkyung Shin, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4420 76th St Ne, Marysville, WA 98270
Phone: 360-651-7492    Fax: 360-651-7482
Shirley Chen, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 4420 76th St Ne, Marysville, WA 98270
Phone: 360-651-7492    Fax: 360-651-7482
Cheryl Lynn Beighle, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4420 76th St Ne, Marysville, WA 98270
Phone: 360-651-7492    Fax: 360-651-7482

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