Erica Bohlke Wagner, PA in Eagan, MN - Medicare Physician Assistant

Erica Bohlke Wagner, PA is a medicare enrolled "Physician Assistant - Medical" in Eagan, Minnesota. Her current practice location is 3305 Central Park Village Dr Ste 200, Eagan, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 406-8860.

Erica Bohlke Wagner is licensed to practice in Minnesota (license number 12588) 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 1053810846.

Contact Information

	Erica Bohlke Wagner, PA
	3305 Central Park Village Dr Ste 200, Eagan, MN 55121-7707
	(651) 406-8860
	Not Available

Provider's Profile

Full Name	Erica Bohlke Wagner
Gender	Female
Speciality	Physician Assistant - Medical
Location	3305 Central Park Village Dr Ste 200, Eagan, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053810846
Provider Enumeration Date: 02/07/2018
Last Update Date: 10/30/2023

Medicare PECOS Information:

PECOS PAC ID: 4284081522
Enrollment ID: I20231108002955

Medical Identifiers

Medical identifiers for Erica Bohlke Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053810846	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	12588 (Minnesota)	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. Erica Bohlke 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
Erica Bohlke Wagner, PA 3305 Central Park Village Dr Ste 200, Eagan, MN 55121-7707 Ph: (651) 406-8860	Erica Bohlke Wagner, PA 3305 Central Park Village Dr Ste 200, Eagan, MN 55121-7707 Ph: (651) 406-8860

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Physician Assistant Nurses in Eagan, MN

Kathryn Kempe O'morchoe, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1185 Town Centre Dr Ste 205, Eagan, MN 55123 Phone: 612-871-1145 Fax: 612-870-5491
Mr. Jeffrey John Mohr, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1885 Plaza Dr, Eagan, MN 55122 Phone: 952-993-4001 Fax: 952-993-4095
Amanda Laatsch, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1185 Town Centre Dr Ste 205, Eagan, MN 55123 Phone: 612-871-1145 Fax: 612-870-5491
Lauren Edwards, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2620 Eagan Woods Dr Ste 100, Eagan, MN 55121 Phone: 651-598-7200
Mrs. Yevgeniya Aleks Khaskilevich, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3460 Washington Dr Ste 200, Eagan, MN 55122 Phone: 651-769-6200 Fax: 651-769-6249
Mrs. Alexi Dee Lindquist, PA-C PHYSICIAN ASSIS Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2620 Eagan Woods Dr., Eagan, MN 55121 Phone: 651-968-5142 Fax: 651-968-5903

Erica Bohlke Wagner, PA - Medicare Physician Assistant in Eagan, MN