Alex Francis Wagner, DO | |
6401 Prairie St, Suite 1600, Norton Shores, MI 49444-7840 | |
(231) 727-7920 | |
(231) 727-7921 |
Full Name | Alex Francis Wagner |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 12 Years |
Location | 6401 Prairie St, Norton Shores, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952664583 | NPI | - | NPPES |
N28430113 | Other | MI | MEDICARE IND PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5101020032 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Health Vns | Muskegon, MI | Home health agency |
Harbor Hospice | Muskegon, MI | Hospice |
Mercy Health Hackley Campus | Muskegon, MI | Hospital |
North Ottawa Community Health System | Grand haven, MI | Hospital |
Mercy Health Saint Mary's | Grand rapids, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Physician Network | 8921996307 | 98 |
Entity Name | Mercy Physician Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023056744 PECOS PAC ID: 8921996307 Enrollment ID: O20040308000687 |
Mailing Address | Practice Location Address |
---|---|
Alex Francis Wagner, DO 600 Broadway Ave Nw Apt 425, Grand Rapids, MI 49504-7324 Ph: (989) 387-5540 | Alex Francis Wagner, DO 6401 Prairie St, Suite 1600, Norton Shores, MI 49444-7840 Ph: (231) 727-7920 |
Michael Banka, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3570 Henry St Ste 120, Norton Shores, MI 49441 Phone: 231-672-7000 Fax: 231-728-5041 | |
William Nelson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 E Ellis Rd, Suite 225, Norton Shores, MI 49441 Phone: 231-798-9840 Fax: 231-798-9740 | |
Dr. David G Booth, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3535 Park St Ste 110, Norton Shores, MI 49444 Phone: 231-672-3155 Fax: 231-672-3157 | |
Dr. James P Twesten-otoole, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3570 Henry St, Suite 220, Norton Shores, MI 49441 Phone: 616-685-6920 Fax: 231-672-7717 | |
Rachael Nicole Lane, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 6401 Prairie St Ste 2600, Norton Shores, MI 49444 Phone: 231-672-7900 Fax: 231-672-7931 | |
Amanda Willhardt, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6401 Prairie St Ste 2600, Norton Shores, MI 49444 Phone: 231-672-7900 Fax: 231-672-7931 | |
Sean M Lawson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3570 Henry St Ste 220, Norton Shores, MI 49441 Phone: 231-672-3155 Fax: 231-672-3157 |