Look up the most recent NPI and PECOS records

Brittany Wagner

Student in an Organized Health Care Education/Training Program

Student, Health Care

11937 Us Highway 271, Tyler, TX 75708-3154

PECOS Enrollment

Based on the most recent information from CMS, provider Brittany Wagner is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1083357594
Provider Type
Individual
Full Name
Wagner, Brittany
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
4/14/2022
Last Updated
4/14/2022

Contact Information

Practice Location

11937 Us Highway 271, Tyler, TX 75708-3154

(903) 877-7777

Unlisted Fax

Mailing Location

11937 Us Highway 271, Tyler, TX 75708-3154

(903) 877-7777

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License BP10080538 Texas

Brittany Wagner

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Kaur, Ramandeep

Sainath, Harinandan

Bunke, Melissa

Neisner, Robert Arthur

Onwudebe, Chinedu

Poudel, Chhabindra

Mcmurray, John Robert

Bhatia, Divya

Patel, Harshil Amit

Bernadotte, Valerie