Kyle Alexander Wagner, PA-C - Physician Assistant in Fort Campbell, KY

Kyle Alexander Wagner, PA-C is a Physician Assistant based in Fort Campbell, Kentucky. Kyle Alexander Wagner is licensed to practice in * (Not Available) (license number ) and his current practice location is 650 Joel Dr, Fort Campbell, Kentucky. He can be reached at his office (for appointments etc.) via phone at (805) 206-8883.

NPI number for Kyle Alexander Wagner is 1104598895 and his current mailing address is 650 Joel Dr, Fort Campbell, Kentucky. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104598895.

Contact Information

Kyle Alexander Wagner, PA-C
650 Joel Dr,
Fort Campbell, KY 42223-5318
(805) 206-8883
Not Available



Provider's Profile

Full NameKyle Alexander Wagner
GenderMale
SpecialityPhysician Assistant
Location650 Joel Dr, Fort Campbell, Kentucky
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104598895
  • Provider Enumeration Date: 09/30/2021
  • Last Update Date: 11/04/2022

Medical Identifiers

Medical identifiers for Kyle Alexander Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104598895NPI-NPPES
1287412009OtherTRICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))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. Kyle Alexander 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
Kyle Alexander Wagner, PA-C
650 Joel Dr,
Fort Campbell, KY 42223-5318

Ph: () -
Kyle Alexander Wagner, PA-C
650 Joel Dr,
Fort Campbell, KY 42223-5318

Ph: (805) 206-8883

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› Verified 3 days ago


Physician Assistant Nurses in Fort Campbell, KY

Christopher Alyn Peterson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-412-3535    
Gregory Hershey,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223
Phone: 270-798-8727    Fax: 270-956-0180
Angela Liszewski, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-978-8400    
Matthew Bedinghaus,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-798-8400    
Mark Leon Siebe, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: Blanchfield Army Community Hospital, 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-798-8727    
Jessica Johns, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 5979 Desert Storm Ave, Fort Campbell, KY 42223
Phone: 270-798-4677    
Sara Cashdollar,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-798-8095    

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