Christian T Wagner, MD - Radiology in Worcester, MA

Christian T Wagner, MD is a Radiology - Diagnostic Radiology physician based in Worcester, Massachusetts. Christian T Wagner is licensed to practice in Massachusetts (license number 202641) and his current practice location is 135 Gold Star Blvd, Worcester, Massachusetts. He can be reached at his office (for appointments etc.) via phone at (508) 853-2716.

NPI number for Christian T Wagner is 1053372987 and his current mailing address is 630 Plantation St, Attn Physician Services Wot 12th Floor, Worcester, Massachusetts. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053372987.

Contact Information

Christian T Wagner, MD
135 Gold Star Blvd,
Worcester, MA 01606
(508) 853-2716
(508) 856-9025

Map and Direction




Physician's Profile

Full NameChristian T Wagner
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location135 Gold Star Blvd, Worcester, Massachusetts
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053372987
  • Provider Enumeration Date: 03/30/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Christian T Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053372987NPI-NPPES
3204235OtherMEDICAID WELFARE
44949OtherFALLON COMMUNITY HEALTH P
784219OtherMVP HEALTH CARE
A30514OtherMEDICARE B
7370306OtherAETNA US HEALTHCARE
3204235OtherHEALTHY START
3204235MedicaidMA
7200046OtherCIGNA HEALTH PLAN
AA5533OtherHARVARD PILGRIM HEALTHCAR
J21993OtherBLUE SHIELD INDEMNITY
1818742OtherFIRST HEALTH
J21993OtherBLUE CARE ELECT
J21993OtherBLUE SHIELD HMO BLUE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 202641 (Massachusetts)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. Christian T 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 AddressPractice Location Address
Christian T Wagner, MD
630 Plantation St, Attn Physician Services Wot 12th Floor,
Worcester, MA 01605

Ph: (508) 368-5529
Christian T Wagner, MD
135 Gold Star Blvd,
Worcester, MA 01606

Ph: (508) 853-2716

Reviews and Comments


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