Dr James W Wagner, MD | |
1 Hurley Plz, 7b West Bldg, Flint, MI 48503-5902 | |
(810) 262-9355 | |
(810) 760-9954 |
Full Name | Dr James W Wagner |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 35 Years |
Location | 1 Hurley Plz, Flint, Michigan |
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 |
---|---|---|---|
1841221660 | NPI | - | NPPES |
0B56029 | Other | MI | BLUE SHIELD OF MI |
4511761 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0127X | Surgery - Trauma Surgery | 4301054569 (Michigan) | Secondary |
2086S0102X | Surgery - Surgical Critical Care | 4301054569 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beaumont Hospital - Dearborn | Dearborn, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Beaumont Medical Group Hospital Based Services | 3072875889 | 464 |
Entity Name | Oakwood Ambulatory Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003829441 PECOS PAC ID: 1850282914 Enrollment ID: O20040320000401 |
Entity Name | Beaumont Medical Group Hospital Based Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796 |
Mailing Address | Practice Location Address |
---|---|
Dr James W Wagner, MD 18101 Oakwood Blvd, Trauma Services Dept, Dearborn, MI 48123-2500 Ph: (313) 982-5440 | Dr James W Wagner, MD 1 Hurley Plz, 7b West Bldg, Flint, MI 48503-5902 Ph: (810) 262-9355 |
Pongchayut Surapipith, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 401 S Ballenger Hwy, Flint, MI 48532 Phone: 810-342-1000 Fax: 810-342-1590 | |
Douglas Matthew Iddings, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 302 Kensington Ave, Flint, MI 48503 Phone: 810-762-8092 Fax: 810-762-8892 | |
Tyler Wundrach, PA-C Surgery Medicare: Medicare Enrolled Practice Location: 1 Hurley Plz # 7b, Flint, MI 48503 Phone: 810-262-9355 Fax: 810-262-6341 | |
Dr. Linsey P Gold, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 2486 Nerredia St, Suite A, Flint, MI 48532 Phone: 810-720-9900 Fax: 810-720-0011 | |
Dr. Ghassan Al Ramahi, M.D Surgery Medicare: Not Enrolled in Medicare Practice Location: One Hurley Plaza, 7b Floor , Trauma Service, Flint, MI 48503 Phone: 810-262-9456 Fax: 810-262-6341 | |
Dr. Tareq Ismail Maraqa, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Hurley Plz, Flint, MI 48503 Phone: 810-262-6023 | |
Mr. Tarik J Wasfie, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1127 Villa Linde Ct, Flint, MI 48532 Phone: 810-720-2710 Fax: 810-720-5230 |