Dr John H Wagner Iii, MD, CMD | |
401 Arnold St Ne, Cullman, AL 35055-1968 | |
(256) 739-9593 | |
(256) 739-2984 |
Full Name | Dr John H Wagner Iii |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 401 Arnold St Ne, Cullman, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487634085 | NPI | - | NPPES |
051551301 | Other | AL | BC/BS OF ALABAMA |
009935241 | Medicaid | AL | |
010066311 | Other | AL | METRA RAILROAD MEDICARE |
51027867 | Other | AL | BC/BS OF ALABAMA |
000027867 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 8613 (Alabama) | Primary |
Entity Name | Long Term Care Physicians Of Alabama Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194819375 PECOS PAC ID: 2769443969 Enrollment ID: O20041021000494 |
Entity Name | Eastern Hospital Medicine Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104859123 PECOS PAC ID: 8325044597 Enrollment ID: O20061011000241 |
Entity Name | Curana Health Of Alabama Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144450347 PECOS PAC ID: 2264681220 Enrollment ID: O20121008000018 |
Entity Name | Russellville Hospital Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780232314 PECOS PAC ID: 3476878489 Enrollment ID: O20191018002761 |
Entity Name | Mind & Body Family Practice And Behavioral Health, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457062200 PECOS PAC ID: 2668845710 Enrollment ID: O20230310001090 |
Entity Name | Ch Mssp Services Al Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063111979 PECOS PAC ID: 4688039142 Enrollment ID: O20230505001134 |
Mailing Address | Practice Location Address |
---|---|
Dr John H Wagner Iii, MD, CMD Po Box 339, 401 Arnold Street Ne, Cullman, AL 35056-0339 Ph: (256) 739-9593 | Dr John H Wagner Iii, MD, CMD 401 Arnold St Ne, Cullman, AL 35055-1968 Ph: (256) 739-9593 |
Van Russell Wadlington, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 501 Clark St Ne, Cullman, AL 35055 Phone: 256-739-9898 Fax: 256-739-9556 |