Charles Allen Wagner Jr, DO | |
300 Hollywood Blvd, Orwigsburg, PA 17961-2426 | |
(570) 366-1557 | |
Not Available |
Full Name | Charles Allen Wagner Jr |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 31 Years |
Location | 300 Hollywood Blvd, Orwigsburg, Pennsylvania |
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 |
---|---|---|---|
1316904345 | NPI | - | NPPES |
0016970330010 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | OS008546L (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Advantage Home Health And Hospice | Pottsville, PA | Home health agency |
Geisinger Medical Center | Danville, PA | Hospital |
Geisinger St. Luke's Hospital | Orwigsburg, PA | Hospital |
Schuylkill Medical Center - South Jackson Street | Pottsville, PA | Hospital |
St Luke's Miners Memorial Hospital | Coaldale, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Geisinger Clinic | 5395657001 | 2841 |
Entity Name | Geisinger Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
Entity Name | Patient First Pennsylvania Medical Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194039560 PECOS PAC ID: 5193900280 Enrollment ID: O20110505000465 |
Mailing Address | Practice Location Address |
---|---|
Charles Allen Wagner Jr, DO 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Charles Allen Wagner Jr, DO 300 Hollywood Blvd, Orwigsburg, PA 17961-2426 Ph: (570) 366-1557 |
Saif A Bella, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1165 Centre Tpke, Orwigsburg, PA 17961 Phone: 570-968-1300 Fax: 570-968-1305 | |
Dr. Liana Rodriguez, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1120 Centre Tpke, Orwigsburg, PA 17961 Phone: 570-366-2613 Fax: 570-366-2618 | |
Sagar V. Mehta, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1165 Centre Tpke, Orwigsburg, PA 17961 Phone: 570-968-1300 Fax: 570-968-1305 | |
Crystal Maksimik, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Paramount Blvd, Orwigsburg, PA 17961 Phone: 272-639-1000 | |
Dr. Abdul Rashid, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1770 Tanglewood Rd, Orwigsburg, PA 17961 Phone: 570-366-1121 Fax: 570-366-1392 | |
Jeanne Lorraine Gricoski, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Hollywood Blvd, Orwigsburg, PA 17961 Phone: 570-366-1557 Fax: 570-366-3981 |