Dr Benjamin Lee Wagenman, MD | |
1100 Central Ave Se, Phs- Lab - S1 Level, Albuquerque, NM 87106-4930 | |
(505) 841-1330 | |
Not Available |
Full Name | Dr Benjamin Lee Wagenman |
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Gender | Male |
Speciality | Pathology - Clinical Pathology |
Location | 1100 Central Ave Se, Albuquerque, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467636951 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZC0006X | Pathology - Clinical Pathology | MD2011-0037 (New Mexico) | Primary |
Entity Name | Presbyterian Healthcare Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
Entity Name | Unm Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831218627 PECOS PAC ID: 4981795267 Enrollment ID: O20070801000589 |
Mailing Address | Practice Location Address |
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Dr Benjamin Lee Wagenman, MD 1100 Central Ave Se, Phs- Lab - S1 Level, Albuquerque, NM 87106-4930 Ph: (505) 841-1330 | Dr Benjamin Lee Wagenman, MD 1100 Central Ave Se, Phs- Lab - S1 Level, Albuquerque, NM 87106-4930 Ph: (505) 841-1330 |
Glynnis Ingall, Pathology Medicare: Not Enrolled in Medicare Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 505-272-2445 | |
Dr. Larry Wayne Massie, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1501 San Pedro Dr Se, Albuquerque, NM 87108 Phone: 505-256-5770 Fax: 505-256-5439 | |
Jennifer L Wheeler Buenger, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: Msc 10 5590, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-3053 Fax: 505-925-0546 | |
Dr. Joseph Ross Griggs, D.O. Pathology Medicare: Accepting Medicare Assignments Practice Location: Msc 08 4640, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-4814 Fax: 505-272-8084 | |
Zoe Sarah Sundell, MD Pathology Medicare: Medicare Enrolled Practice Location: 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-4814 | |
Anne Bracey, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: Unm Hospital Pathology, 2211 Lomas Blvd Ne, Albuquerque, NM 87131 Phone: 505-272-6225 | |
Dr. James Anthony Halfacre Jr., M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1100 Central Ave Se, Albuquerque, NM 87106 Phone: 505-841-1234 |