Brittany Wagner

D.O. | Pediatric Emergency Medicine | Female

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Complete Profile:

Brittany Wagner basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Emergency Medicine
Provider Name :	Brittany Wagner
Credential :	D.O.
Gender :	Female

Business Address:

Brittany Wagner address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	8300 Constantin Blvd Baton Rouge, LA, 70809-3489 United States
Phone Number :	225-374-1410
Fax Number :	225-374-1616

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1952717159
NPI Entity Type :	Individual
First Enrolment Date :	08 Jul, 2014
Last Updated On :	05 Jan, 2022

Medicare Participation:

Brittany Wagner participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	2163791450
Medicare Enrollment ID :	I20170629001456
Primary Specialty :	Pediatric Medicine
Medical School :	Edward Via Col Of Osteo Medicine-carolinas Campus
Graduation Year :	2014
Accepts Medicare?	Yes. Brittany Wagner accepts medicare insurance.

Group Practice Association:

Brittany Wagner is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Brittany Wagner is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Our Lady Of The Lake Physician Group Llc	4587849781	491	8300 Constantin Blvd Baton Rouge, LA - 708093489 Ph: 2257636337	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brittany Wagner are as mentioned. Primary taxonomy code for Brittany Wagner, D.O. is 2080P0204X (Pediatrics Pediatric Emergency Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	PGY.202400	LA
208000000X	Pediatrics	No	305649	LA
2080P0204X	Pediatrics Pediatric Emergency Medicine	Yes	305649	LA

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	5959 S Sherwood Forest Blvd Baton Rouge, LA, 70816-6038 United States
Phone Number :	225-765-5727
Fax Number :	225-765-9691

Business Location:

Patients can refer following map for directions to Brittany Wagner practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.