Dr Matthew Dale Wagner, MD in Portland, OR

Dr Matthew Dale Wagner, MD is a medicare enrolled "Urology" physician in Portland, Oregon. He went to Oregon Health Sciences University School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Urology. He is a member of the group practice Kaiser Foundation Health Plan Of The Northwest and his current practice location is 3303 Sw Bond Ave, Ch10u, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 494-8311.

Dr Matthew Dale Wagner is licensed to practice in Oregon (license number LL16353) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487869996.

Contact Information

	Dr Matthew Dale Wagner, MD
	3303 Sw Bond Ave, Ch10u, Portland, OR 97239-4501
	(503) 494-8311
	(503) 494-8671

Map and Direction

Physician's Profile

Full Name	Dr Matthew Dale Wagner
Gender	Male
Speciality	Urology
Experience	22 Years
Location	3303 Sw Bond Ave, Portland, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Matthew Dale Wagner attended and graduated from Oregon Health Sciences University School Of Medicine in 2002

NPI Data:

NPI Number: 1487869996
Provider Enumeration Date: 05/10/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5698849263
Enrollment ID: I20080730000422

Medical Identifiers

Medical identifiers for Dr Matthew Dale Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487869996	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	LL16353 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Sunnyside Medical Center	Clackamas, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kaiser Foundation Health Plan Of The Northwest	5799688230	1484

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Matthew Dale Wagner allows following entities to bill medicare on his behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Matthew Dale Wagner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Matthew Dale Wagner, MD 1836 Se 36th Ave, Portland, OR 97214-5128 Ph: (503) 525-5833	Dr Matthew Dale Wagner, MD 3303 Sw Bond Ave, Ch10u, Portland, OR 97239-4501 Ph: (503) 494-8311

Reviews and Comments

Urology Doctors in Portland, OR

Donald Andrew Young Iii, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 5050 Ne Hoyt St, Suite 514, Portland, OR 97213 Phone: 503-488-2323 Fax: 503-488-2340
Dr. James Christopher Austin, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Pediatric Urology Cdw-6, Portland, OR 97239 Phone: 503-494-4808 Fax: 503-494-4743
Lauren Lamina, Urology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8311
Dr. Jin-hee Kim, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 10000 Se Main St, Ste 342, Portland, OR 97216 Phone: 503-255-5244 Fax: 503-255-5120
Berhane Mebratu, NP Urology Medicare: Medicare Enrolled Practice Location: 9495 Sw Locust St Ste G, Portland, OR 97223 Phone: 559-321-2800 Fax: 559-321-2780
Michael Joseph Conlin, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 3303 Sw Bond Ave, Ch10u, Portland, OR 97239 Phone: 503-494-4779 Fax: 503-494-8671
Dr. James M Keane, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 9155 Sw Barnes Rd, Ste 422, Portland, OR 97225 Phone: 503-297-1078 Fax: 503-292-2176

Dr Matthew Dale Wagner, MD - Medicare Urology in Portland, OR