Dr Ethan E Wagner, DO | |
2015 Jackson St, Anderson, IN 46016-4337 | |
(765) 646-8439 | |
(765) 646-8578 |
Full Name | Dr Ethan E Wagner |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 22 Years |
Location | 2015 Jackson St, Anderson, Indiana |
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 |
---|---|---|---|
1386643310 | NPI | - | NPPES |
000000514519 | Other | IN | BLUE CROSS /ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 02002898A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Riverview Health | Noblesville, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Riverview Hospital | 1153216627 | 158 |
Entity Name | Riverview Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609074921 PECOS PAC ID: 1153216627 Enrollment ID: O20040216000572 |
Entity Name | Lafayette Emergency Care Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861447211 PECOS PAC ID: 9830189240 Enrollment ID: O20040517001198 |
Entity Name | Emergency Professionals Of Indiana Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013951219 PECOS PAC ID: 4183604150 Enrollment ID: O20040721000612 |
Mailing Address | Practice Location Address |
---|---|
Dr Ethan E Wagner, DO 2015 Jackson St, Anderson, IN 46016-4337 Ph: (765) 646-8439 | Dr Ethan E Wagner, DO 2015 Jackson St, Anderson, IN 46016-4337 Ph: (765) 646-8439 |
Kirk Hofmann, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1515 N Madison Ave, Anderson, IN 46011 Phone: 765-298-5141 Fax: 765-298-5883 | |
Jessilynn Reese Rose, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2015 Jackson St, Anderson, IN 46016 Phone: 765-609-6060 | |
Dr. Terry Kyle, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2015 Jackson St, Anderson, IN 46016 Phone: 765-646-8243 Fax: 765-646-8655 | |
Thomas M Short, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1515 N Madison Ave, Emergency Department, Anderson, IN 46011 Phone: 765-298-5141 | |
J Elizabeth Macdonell, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1515 N Madison Ave, Anderson, IN 46011 Phone: 260-407-8000 Fax: 260-407-8004 | |
Dr. Philip Pinegar, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2015 Jackson St, Anderson, IN 46016 Phone: 765-646-8243 Fax: 765-646-8655 |