KATHRYN A WAGNER PA
NPI 1790827053
Physician Assistant in Ann Arbor, MI
NPI Status: Active since February 13, 2007
Contact Information
1500 EAST MEDICAL CENTER DR
3RD CARDIOVASCULAR CENTER RECP C
ANN ARBOR, MI
ZIP 48109
Phone: (888) 287-1082
- Individual
- Female
- Years of Experience 25
- Physician Assistant
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About KATHRYN WAGNER
This page provides the complete NPI Profile along with additional information for Kathryn Wagner, a primary care provider established in Ann Arbor, Michigan with a medical specialization in Physician Assistant and more than 25 years of experience. The healthcare provider is registered in the NPI registry with number 1790827053 assigned on February 2007. The practitioner's primary taxonomy code is 363A00000X with license number 5601003769 (MI). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1790827053
- Provider Name
- KATHRYN A WAGNER PA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1500 EAST MEDICAL CENTER DR 3RD CARDIOVASCULAR CENTER RECP C ANN ARBOR, MI 48109
- Location Phone
- (888) 287-1082
- Mailing Address
- 3621 S STATE ST 700 KMS PLACE ANN ARBOR, MI 48108
- Mailing Phone
- (734) 936-2047
- Medical School Name
- OTHER
- Graduation Year
- 2001
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-13-2007
- Last Update Date
- 09-17-2012
- Code Navigator
A primary care provider (PCP) like Kathryn Wagner sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 5601003769
- License State
- MI
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- MyPriority Balanced Silver - HMO
- MyPriority Premier Silver - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Value Bronze - HMO
- MyPriority Value Bronze HSA - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| Q14970 | MEDICARE UPIN (02) | MI | |
| 0M52870086 | MEDICARE ID-TYPE UNSPECIFIED (04) | MI |
Medicare Participation & PECOS Enrollment Status
Kathryn Wagner is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Kathryn Wagner is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 3274517982
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20040617001391
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.69 for a new patient copayment and $18.09 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 48109 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.76
- Minimum New Patient Price $58.04
- Maximum New Patient Price $177.36
- Average New Patient Copayment $22.69
- Minimum New Patient Copayment $14.51
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $72.38
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $143.49
- Average Established Patient Copayment $18.09
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $35.87
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 9 | 0 | 8 | 2 | 7 | 0 | 5 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 16 | 2 | 14 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 1 + 6 + 2 + 1 + 4 + 0 + 1 + 0 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1790827053 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. DANIEL WILLIAM BERLAND MD
Internal Medicine
1500 EAST MEDICAL CENTER DR
3RD FLOOR TAUBMAN CTR RECP B
ANN ARBOR, MI
ZIP 48109
ELIZABETH CAROL DUBOIS PAC
Physician Assistant
1500 EAST MEDICAL CENTER DR
3RD FLOOR TAUBMAN CTR RECP D
ANN ARBOR, MI
ZIP 48109
DR. ROBERT WOODWORTH SHAFFER MD
Emergency Medicine
1500 EAST MEDICAL CENTER DR
B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY
ANN ARBOR, MI
ZIP 48109
MARTIN L BOND PA
Physician Assistant
1500 EAST MEDICAL CENTER DR
2ND FLOOR TAUBMAN CTR RECP F
ANN ARBOR, MI
ZIP 48109
DR. ANDREW WEN-YUAN TAI MD, PHD
Internal Medicine
1500 EAST MEDICAL CENTER DR
2ND FLOOR UNIVERSITY HOSPITAL RECP 2B355
ANN ARBOR, MI
ZIP 48109
MARY JO GOODCHILD CNM
Advanced Practice Midwife
1500 EAST MEDICAL CENTER DR
UNIVERSITY HOSPITAL
ANN ARBOR, MI
ZIP 48109
JASON JERARD HAM MD
Emergency Medicine
1500 EAST MEDICAL CENTER DR
B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY
ANN ARBOR, MI
ZIP 48109
JOHN WILLIAM SAUERWALD CRNA
Nurse Anesthetist, Certified Registered
1500 EAST MEDICAL CENTER DR
1H247 UNIVERSITY HOSPITAL
ANN ARBOR, MI
ZIP 48109
MARC J MOOTE PA-C
Physician Assistant
1500 EAST MEDICAL CENTER DR
2ND FLOOR TAUBMAN CTR RECP F
ANN ARBOR, MI
ZIP 48109
MARIAN G JORDISON BOXER M.D.
Internal Medicine
1500 EAST MEDICAL CENTER DR
B1 FLOOR CANCER RECP B
ANN ARBOR, MI
ZIP 48109
KADEE RASER PA
Physician Assistant
1500 EAST MEDICAL CENTER DR
B1 FLOOR CANCER & GERIATRICS CTR RECP B
ANN ARBOR, MI
ZIP 48109
TERRI L HANEY CRNA
Nurse Anesthetist, Certified Registered
1500 EAST MEDICAL CENTER DR
ANN ARBOR, MI
ZIP 48109
DR. RESHMA JAGSI MD
Radiology
(Radiation Oncology)
1500 EAST MEDICAL CENTER DR
B2 FLOOR UNIVERSITY HOSPITAL RM C490
ANN ARBOR, MI
ZIP 48109
DR. KALAVATHY K SRINIVASAN MD
Emergency Medicine
1500 EAST MEDICAL CENTER DR
B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY
ANN ARBOR, MI
ZIP 48109
MS. JEAN M HERGOTT P.A.-C
Physician Assistant
(Surgical)
1500 EAST MEDICAL CENTER DR
2ND FLOOR TAUBMAN CENTER RECP C
ANN ARBOR, MI
ZIP 48109
MARK ANDREW NOLD CRNA
Nurse Anesthetist, Certified Registered
1500 EAST MEDICAL CENTER DR
2ND FLOOR TAUBMAN CENTER RECP G
ANN ARBOR, MI
ZIP 48109
MS. DEBORAH CAPLAN NP
Nurse Practitioner
1500 EAST MEDICAL CENTER DR
3RD FLOOR TAUBMAN CTR RECP D
ANN ARBOR, MI
ZIP 48109
DR. DEBORAH O JEFFRIES M.D.
Radiology
(Diagnostic Radiology)
1500 EAST MEDICAL CENTER DR
B1 FLOOR UNIVERSITY HOSPITAL RECP C
ANN ARBOR, MI
ZIP 48109
BRIAN J MCKEON PA
Physician Assistant
1500 EAST MEDICAL CENTER DR
3RD FLOOR CARDIOVASCULAR CENTER
ANN ARBOR, MI
ZIP 48109
KRISTINA KAY MASTERS PAC
Physician Assistant
1500 EAST MEDICAL CENTER DR
B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY
ANN ARBOR, MI
ZIP 48109
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790827053, enumerated as an "individual" on February 13, 2007.
The provider is located at 1500 EAST MEDICAL CENTER DR 3RD CARDIOVASCULAR CENTER RECP C ANN ARBOR, MI 48109 and the phone number is (888) 287-1082.
Physician Assistant with taxonomy code 363A00000X.
The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Blue Care. Please consult your insurance carrier or call the provider to verify.
