David K Wagner, MD in Los Angeles, CA - Medicare Emergency Medicine

David K Wagner, MD is a medicare enrolled "Emergency Medicine" physician in Los Angeles, California. His current practice location is 1401 S Grand Ave, Emergency Department, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (213) 748-2411.

David K Wagner is licensed to practice in California (license number G62145) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1326090556.

Contact Information

	David K Wagner, MD
	1401 S Grand Ave, Emergency Department, Los Angeles, CA 90015-3010
	(213) 748-2411
	Not Available

Map and Direction

Physician's Profile

Full Name	David K Wagner
Gender	Male
Speciality	Emergency Medicine
Location	1401 S Grand Ave, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326090556
Provider Enumeration Date: 05/16/2006
Last Update Date: 03/01/2018

Medicare PECOS Information:

PECOS PAC ID: 3870577976
Enrollment ID: I20040616000830

Medical Identifiers

Medical identifiers for David K Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326090556	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	G62145 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. David K Wagner allows following entities to bill medicare on his behalf.

Entity Name	Cep America - California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520

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. David K Wagner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
David K Wagner, MD 2100 Powell St, Ste 900, Emeryville, CA 94608-1844 Ph: (510) 350-2600	David K Wagner, MD 1401 S Grand Ave, Emergency Department, Los Angeles, CA 90015-3010 Ph: (213) 748-2411

Reviews and Comments

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David K Wagner, MD - Medicare Emergency Medicine in Los Angeles, CA