Michael C Wagner Ii (NPI# 1073655825, PAC ID# 4587738802) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1073655825 |
| PAC ID by PECOS | 4587738802 |
| Professional Enrollment ID | I20080805000589 |
| Full Name | Michael C Wagner Ii |
| Address |
603 N Logan Ave Danville IL 61832-4320 |
| Gender | M |
| Graduation Year | 1999 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140093 | PRESENCE UNITED SAMARITANS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 603 N Logan Ave, Danville, IL 61832-4320 |
| Street Address |
603 N LOGAN AVE |
| City | DANVILLE |
| State | IL |
| Zip | 61832-4320 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanelle Y Murphy | Family Medicine | Christie Clinic, LLC | 3545 N Vermilion St, Danville, IL 61832-1100 |
| Danyel Schmit | Nurse Practitioner | Christie Clinic, LLC | 3545 N Vermilion St, Danville, IL 61832-1100 |
| Timothy Horner | Family Medicine | Christie Clinic, LLC | 3545 N Vermilion St, Danville, IL 61832-1100 |
| Kristine Ehlers | Nurse Practitioner | Christie Clinic, LLC | 3545 N Vermilion St, Danville, IL 61832-1100 |
| Rhonda Hardy | Nurse Practitioner | Christie Clinic, LLC | 3545 N Vermilion St, Danville, IL 61832-1100 |
| Sasha Pryer | Nurse Practitioner | Christie Clinic, LLC | 3545 N Vermilion St, Danville, IL 61832-1100 |
| Megan Rand | Physical Therapy | Christie Clinic, LLC | 3545 N Vermilion St, Danville, IL 61832-1100 |
| Haydee Jabines-stewart | Family Medicine | Christie Clinic, LLC | 3545 N Vermilion St, Danville, IL 61832-1100 |
| Eleanor K Peters | Family Medicine | Christie Clinic, LLC | 3545 N Vermilion St, Danville, IL 61832-1100 |
| Brant Warren Riegel | Chiropractic | Robinson Chiropractic Ltd | 7 Boiling Springs Rd, Danville, IL 61832-1102 |
| Find all physicians in zip 61832 | |||
| City | DANVILLE |
| Zip Code | 61832 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DANVILLE + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.