Stacy L Wagner, PA-C
Stacy L Wagner, PA-C is a Physician Assistant in Winfield, Kansas. Qualified in 2012, 14 years ago. Practices with Bryan C Davis MD PA, a 3-clinician group and accepts Medicare assignment. Licensed in Kansas.
- Years since qualifying
- 14
- Licensed in
- KS
- In the registry since
- 2012
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
1305 E 19th AveWinfield, KS 67156-5201
Phone: (620) 221-9500
Fax: (620) 221-3700
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 15-01553 (KS) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 15-01553 |
Record details
| NPI number | 1992054431 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | August 30, 2012 |
| Last updated in NPPES | June 12, 2024 |
| Certification date | June 12, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | Bryan C Davis Md Pa — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Winfield
-
Tirzah R Rice, PA-C
3625 Quail Ridge Rd, Winfield, KS 67156-8881 · (620) 221-6100