Mrs. Caitlyn Clare Wagenbach, PA-C
Mrs. Caitlyn Clare Wagenbach, PA-C is a Physician Assistant in Peoria Heights, Illinois. Qualified in 2021, 5 years ago. Practices with Springfield Clinic, LLP, a 679-clinician group and accepts Medicare assignment.
- Years since qualifying
- 5
- In the registry since
- 2020
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
4616 N Prospect RdPeoria Heights, IL 61616-6460
Phone: (217) 528-7541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1346856846 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | Yes |
| NPI enumerated | September 20, 2020 |
| Last updated in NPPES | October 22, 2024 |
| Certification date | October 22, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Springfield Clinic, Llp — 679 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |