Melissa Wagner (NPI# 1174992382, PAC ID# 6709170343) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1174992382 |
| PAC ID by PECOS | 6709170343 |
| Professional Enrollment ID | I20160810000772 |
| Full Name | Melissa Wagner |
| Organization Legal Name | FRONTIER BEHAVIORAL HEALTH CENTER PLLC |
| Address |
838 E Mountain Pkwy Salyersville KY 41465-8378 |
| Phone Number | 6063497475 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7911284302 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180128 | THREE RIVERS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 64 Kirk Plz, Inez, KY 41224-6501 | 6062982520 | MARTIN COUNTY RURAL HEALTH CLINIC PLLC |
| 4851 Ky Route 321, Prestonsburg, KY 41653-9113 | 6068861173 | EASTERN KENTUCKY TENDER CARE PEDIATRICS, LLC |
| 93 Pickett Ln, Prestonsburg, KY 41653-8569 | 6068742300 | FRONTIER BEHAVIORAL HEALTH CENTER PLLC |
| 838 E Mountain Pkwy, Salyersville, KY 41465-8378 | 6063497475 | FRONTIER BEHAVIORAL HEALTH CENTER PLLC |
| Organization Legal Name | FRONTIER BEHAVIORAL HEALTH CENTER PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susie M. Howard | Nurse Practitioner | Frontier Behavioral Health Center Pllc | 838 E Mountain Pkwy, Salyersville, KY 41465-8378 |
| Britta D Caudill | Clinical Social Worker | Frontier Behavioral Health Center Pllc | 838 E Mountain Pkwy, Salyersville, KY 41465-8378 |
| Street Address |
838 E MOUNTAIN PKWY |
| City | SALYERSVILLE |
| State | KY |
| Zip | 41465-8378 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susie M. Howard | Nurse Practitioner | Frontier Behavioral Health Center Pllc | 838 E Mountain Pkwy, Salyersville, KY 41465-8378 |
| Britta D Caudill | Clinical Social Worker | Frontier Behavioral Health Center Pllc | 838 E Mountain Pkwy, Salyersville, KY 41465-8378 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Wilson Craig II | Family Medicine | Big Sandy Health Care, Inc | 214 Beriah Blvd, Salyersville, KY 41465-7509 |
| Zacharry F Slone | Chiropractic | 690 E Mountain Pkwy, Salyersville, KY 41465-8376 | |
| Kelly E Howard | Physician Assistant | Albaree Health Services LLC | 842 E Mountain Pkwy, Salyersville, KY 41465-8378 |
| Blake R Burchett | Family Medicine | Albaree Health Services LLC | 842 E Mountain Pkwy, Salyersville, KY 41465-8378 |
| Mary Ann Music | Nurse Practitioner | Albaree Health Services LLC | 842 E Mountain Pkwy, Salyersville, KY 41465-8378 |
| Rhonda Nicole Meadows | Physician Assistant | Albaree Health Services LLC | 842 E Mountain Pkwy, Salyersville, KY 41465-8378 |
| Martin J. Green | Clinical Social Worker | Albaree Health Services LLC | 842 E Mountain Pkwy, Salyersville, KY 41465-8378 |
| Kevin B Johnson | Family Practice | Albaree Health Services LLC | 842 E Mountain Pkwy, Salyersville, KY 41465-8378 |
| Wendy Blair | Clinical Social Worker | Albaree Health Services LLC | 906 E Mountain Pkwy, Salyersville, KY 41465-8379 |
| Sarah A Patrick | Nurse Practitioner | 5083 Middle Frk, Suite B, Salyersville, KY 41465-8553 | |
| Find all physicians in zip 41465 | |||
| City | SALYERSVILLE |
| Zip Code | 41465 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SALYERSVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Melissa Wagner.
| 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.