Dr Gary L Wagoner, MD P A | |
925 Bishop Walsh Rd, Suite 4, Cumberland, MD 21502 | |
(301) 777-5326 | |
(301) 777-0325 |
Full Name | Dr Gary L Wagoner |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 925 Bishop Walsh Rd, Cumberland, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225034853 | NPI | - | NPPES |
189121900 | Medicaid | MD | |
218706 | Other | MD | UNITED HEALTH CARE |
P11723 | Other | MD | BLUE SHIELD POS |
8814GL | Other | MD | CAREFIRST BS |
W0230001 | Other | MD | FEDERAL BS |
104012109 | Other | MD | CIGNA |
408113495 | Other | MD | R.R. MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | D0022181 (Maryland) | Primary |
Entity Name | Gary L Wagoner Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619275617 PECOS PAC ID: 6800077504 Enrollment ID: O20110301000800 |
Mailing Address | Practice Location Address |
---|---|
Dr Gary L Wagoner, MD P A 925 Bishop Walsh Rd, Cumberland, MD 21502-1845 Ph: (301) 777-5326 | Dr Gary L Wagoner, MD P A 925 Bishop Walsh Rd, Suite 4, Cumberland, MD 21502 Ph: (301) 777-5326 |
Dr. Raymond E Banfer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 621 Kelly Rd, Cumberland, MD 21502 Phone: 301-722-3270 Fax: 301-722-3276 | |
Dr. Isaias G Tessema, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13800 Mcmullen Hwy Sw, Cumberland, MD 21502 Phone: 301-729-7115 Fax: 301-729-9260 | |
Holly Hoover, CRNP, AGNP, PMHNP-BC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14100 Mcmullen Hwy Sw, Cumberland, MD 21502 Phone: 301-729-7570 Fax: 301-729-7580 | |
Jared Mathews, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 925 Bishop Walsh Rd Ste 4, Cumberland, MD 21502 Phone: 301-777-5326 Fax: 301-777-0325 | |
James R Moen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1068 National Highway Rear, Cumberland, MD 21502 Phone: 301-729-8380 Fax: 301-729-0245 | |
Anupama Shankar Khandare, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 W Industrial Blvd, Cumberland, MD 21502 Phone: 240-964-9200 |