| Dr Drue O Wagner, MD | |
|
619 S Washington St, Suite 203, Moscow, ID 83843-3090 | |
| (208) 892-1346 | |
| (208) 892-8306 |
| Full Name | Dr Drue O Wagner |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 619 S Washington St, Moscow, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891918629 | NPI | - | NPPES |
| 1008218020002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 00028927 (Washington) | Primary |
| 207Q00000X | Family Medicine | M-11013 (Idaho) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Drue O Wagner, MD 825 Se Bishop Blvd, Ste 901, Pullman, WA 99163-5538 Ph: (208) 892-1346 | Dr Drue O Wagner, MD 619 S Washington St, Suite 203, Moscow, ID 83843-3090 Ph: (208) 892-1346 |
Glenn David Rych, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 623 S Main St, Moscow, ID 83843 Phone: 208-882-2011 Fax: 208-883-1853 | |
Patricia N. Marciano, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 W A St Ste 101, Moscow, ID 83843 Phone: 208-882-2011 Fax: 208-883-1853 | |
Dr. Matthew Rice, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 803 S Main St Ste 120, Moscow, ID 83843 Phone: 208-848-8300 Fax: 509-444-7806 | |
Dr. Jacques Maurice Bouchard, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 623 S Main St Ste 1, Moscow, ID 83843 Phone: 208-882-2011 | |
Christopher Michael Standley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-882-4511 | |
Helen Marie Shearer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 W A St Ste 101, Moscow, ID 83843 Phone: 208-882-2011 Fax: 208-883-1853 | |
Vicky M Lott, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 623 South Main Street, Moscow, ID 83843 Phone: 208-882-2011 Fax: 208-883-1853 |