Diana Wagner, MD | |
460 Hartford Tpke Ste A, Vernon, CT 06066-4847 | |
(860) 896-4877 | |
(860) 896-4876 |
Full Name | Diana Wagner |
---|---|
Gender | Female |
Speciality | Endocrinology |
Experience | 27 Years |
Location | 460 Hartford Tpke Ste A, Vernon, Connecticut |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790893022 | NPI | - | NPPES |
34678700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 47653 (Wisconsin) | Secondary |
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 50129 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Manchester Memorial Hospital | Manchester, CT | Hospital |
Rockville General Hospital | Rockville, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prospect Ct Medical Foundation Inc | 7416244496 | 270 |
Entity Name | Prospect Ct Medical Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144677568 PECOS PAC ID: 7416244496 Enrollment ID: O20160919001322 |
Mailing Address | Practice Location Address |
---|---|
Diana Wagner, MD 460 Hartford Tpke Ste A, Vernon, CT 06066-4847 Ph: (860) 896-4877 | Diana Wagner, MD 460 Hartford Tpke Ste A, Vernon, CT 06066-4847 Ph: (860) 896-4877 |
David Hatch, M.D. Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 57 Hartford Tpke, Vernon, CT 06066 Phone: 860-645-1112 Fax: 860-533-1289 | |
Richard Orris, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 428 Hartford Tpke, Vernon, CT 06066 Phone: 860-533-4611 Fax: 860-533-4607 | |
Maryann Igoe, APRN Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 57 Hartford Tpke, Vernon, CT 06066 Phone: 860-645-1112 Fax: 860-533-1289 | |
Ali Hemacha, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 428 Hartford Tpke, Suite 207, Vernon, CT 06066 Phone: 860-872-5426 Fax: 860-872-5689 | |
Girish L Sharma, MD Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 520 Hartford Tpke, Suite P, Vernon, CT 06066 Phone: 860-871-2636 Fax: 860-871-6158 | |
Dr. Michael R Sharon, MD Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 520 Hartford Tpke, Vernon, CT 06066 Phone: 860-872-0888 Fax: 860-872-8940 | |
Dr. Karen C. Halasan, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 27 Naek Rd, Vernon, CT 06066 Phone: 860-875-2444 Fax: 860-875-1952 |