Lynn K Wagner, MD in De Pere, WI - Medicare

Lynn K Wagner, MD is a medicare enrolled "Emergency Medicine" physician in De Pere, Wisconsin. Her current practice location is 106 N Wisconsin St, De Pere, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 327-7056.

Lynn K Wagner is licensed to practice in Wisconsin (license number 49400) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1164458899.

Contact Information

	Lynn K Wagner, MD
	106 N Wisconsin St, De Pere, WI 54115
	(920) 327-7056
	Not Available

Physician's Profile

Full Name	Lynn K Wagner
Gender	Female
Speciality
Experience	Years
Location	106 N Wisconsin St, De Pere, Wisconsin
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lynn K Wagner attended and graduated from in

NPI Data:

NPI Number: 1164458899
Provider Enumeration Date: 06/24/2006
Last Update Date: 05/22/2018

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Lynn K Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164458899	NPI	-	NPPES
104894116	Medicaid	MI
34870800	Medicaid	WI
P00355797	Other	WI	RAILROAD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	A89772 (California)	Secondary
207P00000X	Emergency Medicine	49400 (Wisconsin)	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. Lynn K 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 Address	Practice Location Address
Lynn K Wagner, MD 164 N Broadway, Green Bay, WI 54303-2728 Ph: (920) 490-9046	Lynn K Wagner, MD 106 N Wisconsin St, De Pere, WI 54115 Ph: (920) 327-7056

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Lynn K Wagner, MD - Medicare in De Pere, WI