Dr Jeffrey David Wagner, MD | |
8040 Clearvista Pkwy Ste 520, Indianapolis, IN 46256-5604 | |
(317) 621-9470 | |
Not Available |
Full Name | Dr Jeffrey David Wagner |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 38 Years |
Location | 8040 Clearvista Pkwy Ste 520, Indianapolis, 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 |
---|---|---|---|
1881690790 | NPI | - | NPPES |
100347810 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0122X | Surgery - Plastic And Reconstructive Surgery | 01041504 (Indiana) | Secondary |
208200000X | Plastic Surgery | 01041504A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Community Hospital North | Indianapolis, IN | Hospital |
Community Hospital East | Indianapolis, IN | Hospital |
Community Howard Regional Health Inc. | Kokomo, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Physicians Of Indiana Inc | 1759416662 | 1292 |
Entity Name | Jeffrey D Wagner Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609079607 PECOS PAC ID: 7911998398 Enrollment ID: O20040524000627 |
Entity Name | Community Physicians Of Indiana Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeffrey David Wagner, MD 6626 E 75th St Ste 500, Indianapolis, IN 46250-2890 Ph: () - | Dr Jeffrey David Wagner, MD 8040 Clearvista Pkwy Ste 520, Indianapolis, IN 46256-5604 Ph: (317) 621-9470 |
Brett C Hartman, D.O. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 545 Barnhill Dr, Emerson Hall, Suite 232, Indianapolis, IN 46202 Phone: 317-274-3636 | |
Dr. Ivan Hadad, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 545 Barnhill Dr, Suite 202 Emerson Hall, Indianapolis, IN 46202 Phone: 317-274-4966 | |
Dr. Samuel Louis Corey Ii, MD Plastic Surgery Medicare: May Accept Medicare Assignments Practice Location: 8040 Clearvista Pkwy Ste 310, Indianapolis, IN 46256 Phone: 317-621-2200 | |
Thomas E Southern, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3520 Guion Rd, Ste 301, Indianapolis, IN 46222 Phone: 317-926-1356 Fax: 317-926-1465 | |
Dr. Gayle M. Gordillo, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 545 Barnhill Dr # 232, Indianapolis, IN 46202 Phone: 317-944-3636 Fax: 317-968-1371 | |
Eugene C Hsiao, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8040 Clearvista Parkway, Suite 210, Indianapolis, IN 46256 Phone: 317-621-2200 Fax: 317-621-2204 | |
Patrick A Gerety, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 545 Barnhill Dr, Eh 232, Indianapolis, IN 46202 Phone: 317-944-3636 Fax: 317-278-7159 |