Donald J Wagner, DO | |
1355 Ramar Rd, Ste 11, Bullhead City, AZ 86442-7100 | |
(928) 704-7202 | |
(928) 704-9207 |
Full Name | Donald J Wagner |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 37 Years |
Location | 1355 Ramar Rd, Bullhead City, Arizona |
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 |
---|---|---|---|
1134248867 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 3719 (Arizona) | Primary |
207PE0004X | Emergency Medicine - Emergency Medical Services | 3719 (Arizona) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Western Arizona Regional Medical Center | Bullhead city, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Paragon Physical Therapy And Rehab Llc | 4284902339 | 73 |
Bullhead Urgent Care Corp. | 7719962141 | 6 |
Entity Name | Bullhead Urgent Care Coporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225158470 PECOS PAC ID: 7719962141 Enrollment ID: O20040621001175 |
Mailing Address | Practice Location Address |
---|---|
Donald J Wagner, DO 1355 Ramar Rd, Ste 11, Bullhead City, AZ 86442-7100 Ph: (928) 704-7202 | Donald J Wagner, DO 1355 Ramar Rd, Ste 11, Bullhead City, AZ 86442-7100 Ph: (928) 704-7202 |
Ludane Tonie Simmons, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Canyon Rd Bldg B, Bullhead City, AZ 86442 Phone: 928-763-9290 Fax: 928-763-7628 | |
Summer Charise Aymar, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3641 Highway 95, Bullhead City, AZ 86442 Phone: 928-704-4334 | |
Ashley Rochelle Sebastian, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2500 Canyon Rd Ste 2, Bullhead City, AZ 86442 Phone: 928-444-3410 | |
Dr. Kevin Frank Brown, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2812 Silver Creek Rd, Bullhead City, AZ 86442 Phone: 928-763-7404 Fax: 928-763-9795 | |
Nathan Eric Beneze, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Canyon Rd Ste A1, Bullhead City, AZ 86442 Phone: 928-704-4499 | |
Freeha Afshin Azher, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3706 Highway 95 Ste 101, Bullhead City, AZ 86442 Phone: 928-201-9286 Fax: 928-219-4610 |