Serena Wagoner, DO

ActiveIndividual ProviderSpecialty not listed
NPI issued: April 2, 2020

Quick Facts

NPI Number
1790314854
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy2080C0008X — Specialty not listed
Phone
(920) 887-9272
StateWI

NPI Validation Status: Verified

Valid 10-digit NPI number (1790314854)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (April 2, 2020)
Data source: CMS NPPES

Provider Overview

SERENA WAGONER, DO is a Healthcare provider based in Beaver Dam, WI who has been registered with CMS since 2020. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1790314854
Provider TypeIndividual Provider
GenderFemale
CredentialDO
StatusActive
Enumeration DateApril 2, 2020

Practice Location

CityBeaver Dam
StateWI
ZIP Code53916-3053
Phone(920) 887-9272

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code2080C0008X
License StateWI

Mailing Address

CityBeaver Dam
StateWI
ZIP Code53916-3053
Phone(920) 887-9272
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1790314854 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1790314854for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1790314854 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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158
Specialty not listed Providers in the US

Similar Providers in Beaver Dam

No similar providers found in Beaver Dam.

Other Healthcare Providers in Beaver Dam

Rice Drugs, Inc.

Specialty not listed

Radiology Associates Of Beaver Dam Ltd

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Elizabeth Peterson, M.D

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Excel Anesthesia Psc

Anesthesiology

Susan Matthews, ARNP

Nurse Practitioner

Paul Mcmillan, MD

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People Also Ask

What is Serena Wagoner's NPI number?
Serena Wagoner's NPI number is 1790314854, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Serena Wagoner's NPI currently active?
Yes, Serena Wagoner's NPI status is Active as of the latest CMS NPPES database updates.
What does Serena Wagoner specialize in?
Serena Wagoner specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 2080C0008X.
Where does Serena Wagoner practice?
Serena Wagoner practices in Beaver Dam, WI 53916-3053.
When was Serena Wagoner's NPI issued?
Serena Wagoner's NPI was issued on April 2, 2020.
What is Serena Wagoner's provider type?
Serena Wagoner is registered as an Individual Provider under CMS NPI Type 1.