Julie Wagner, - Family Medicine in Peoria, IL

Julie Wagner, is a Family Medicine physician based in Peoria, Illinois. Julie Wagner is licensed to practice in Illinois (license number 209.025916) and her current practice location is 1524 W Glen Ave, Peoria, Illinois. She can be reached at her office (for appointments etc.) via phone at (309) 512-0902.

NPI number for Julie Wagner is 1033830823 and her current mailing address is 1813 Partridge Pt, Normal, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033830823.

Contact Information

Julie Wagner,
1524 W Glen Ave,
Peoria, IL 61614-4692
(309) 512-0902
Not Available



Physician's Profile

Full NameJulie Wagner
GenderFemale
SpecialityFamily Medicine
Location1524 W Glen Ave, Peoria, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033830823
  • Provider Enumeration Date: 09/08/2022
  • Last Update Date: 09/08/2022

Medical Identifiers

Medical identifiers for Julie Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033830823NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 209.025916 (Illinois)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. Julie Wagner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Julie Wagner,
1813 Partridge Pt,
Normal, IL 61761-5656

Ph: () -
Julie Wagner,
1524 W Glen Ave,
Peoria, IL 61614-4692

Ph: (309) 512-0902

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› Verified 9 days ago


Family Medicine Doctors in Peoria, IL

Sarah R Koscica, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1701 W Garden St, Peoria, IL 61605
Phone: 309-680-7600    Fax: 309-680-7686
Karen Cadet-saintilus, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5111 N Glen Park Place Rd, Peoria, IL 61614
Phone: 309-683-5700    Fax: 309-683-5752
Iram Yunus,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 815 Main St Ste A, Peoria, IL 61602
Phone: 309-672-4977    Fax: 309-672-2580
Gregory T Moskop, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5111 N Glen Park Place Rd, Peoria, IL 61614
Phone: 309-683-5700    Fax: 309-683-5752
Christopher Reavis Johnson, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2321 N Wisconsin Ave, Peoria, IL 61603
Phone: 309-680-7600    Fax: 309-495-8614
Mrs. Vanessa Lauren Roof, NP
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 5600 N Glen Elm Dr, Peoria, IL 61614
Phone: 844-341-2339    

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