Debra Ann Wagner, MD | |
727 Se Main St, Suite 300, Simpsonville, SC 29681-3247 | |
(864) 522-1170 | |
Not Available |
Full Name | Debra Ann Wagner |
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Gender | Female |
Speciality | Internal Medicine |
Location | 727 Se Main St, Simpsonville, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013989623 | NPI | - | NPPES |
89139NW | Medicaid | NC | |
322751 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 200500395 (North Carolina) | Secondary |
207R00000X | Internal Medicine | 32275 (South Carolina) | Primary |
Entity Name | Acv Community Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174630693 PECOS PAC ID: 3476462078 Enrollment ID: O20040402000091 |
Entity Name | Florida Medical Practice Plan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326386293 PECOS PAC ID: 3971608993 Enrollment ID: O20070420000065 |
Mailing Address | Practice Location Address |
---|---|
Debra Ann Wagner, MD 1 Independence Pt, Suite 212, Greenville, SC 29615-4545 Ph: (864) 797-6044 | Debra Ann Wagner, MD 727 Se Main St, Suite 300, Simpsonville, SC 29681-3247 Ph: (864) 522-1170 |
Sarah Beth Wells, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 727 Se Main St Ste 320, Simpsonville, SC 29681 Phone: 864-454-6440 Fax: 864-454-6445 | |
Travis Charles Sizemore, D.O., MPH Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 Fairview Pointe Dr, Simpsonville, SC 29681 Phone: 864-881-8500 | |
Krishna Kumar Pudi, MD PA Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 110 Hospital Dr # A, Simpsonville, SC 29681 Phone: 864-963-9090 Fax: 864-962-0610 | |
Dr. James Coan Mcalpine Iii, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 312 Harrison Bridge Rd, Simpsonville, SC 29680 Phone: 864-603-5600 Fax: 864-603-5601 | |
Edna Katherine Gantt Gettys, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 727 Se Main St, Suite 300, Simpsonville, SC 29681 Phone: 864-522-1170 Fax: 864-522-1175 | |
Ashley Eve Eisner, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 727 Se Main St Ste 120, Simpsonville, SC 29681 Phone: 864-454-6700 Fax: 864-454-6705 |