Benjamin Wagner, DO is a
Student In An Organized Health Care Education/training Program physician based in Portsmouth, New Hampshire. Benjamin Wagner is licensed to practice in * (Not Available) (license number ) and his current practice location is 333 Borthwick Ave, Portsmouth, New Hampshire. He can be reached at his office (for appointments etc.) via phone at
(603) 570-3118.
NPI number for Benjamin Wagner is 1174191290 and his current mailing address is 333 Borthwick Ave Ste 100, Portsmouth, New Hampshire. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174191290.
Physician's Profile
| Full Name | Benjamin Wagner |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 333 Borthwick Ave, Portsmouth, New Hampshire |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174191290
- Provider Enumeration Date: 06/15/2021
- Last Update Date: 11/04/2024
Medical Identifiers
Medical identifiers for Benjamin Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174191290 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 24500 (New Hampshire) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Benjamin Wagner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Benjamin Wagner, DO
333 Borthwick Ave Ste 100,
Portsmouth, NH 03801-4198
Ph: () - | Benjamin Wagner, DO
333 Borthwick Ave,
Portsmouth, NH 03801-7128
Ph: (603) 570-3118 |
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