Dr Osvaldo Wagener, MD | |
1111 Superior St, Suite 204, Melrose Park, IL 60160-4138 | |
(708) 223-7920 | |
(708) 338-1780 |
Full Name | Dr Osvaldo Wagener |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 43 Years |
Location | 1111 Superior St, Melrose Park, Illinois |
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 |
---|---|---|---|
1770563009 | NPI | - | NPPES |
036086015 | Medicaid | IL | |
01636011 | Other | IL | BCBS PROVIDER ID |
36320 | Other | IL | ADVOCATE HLTH CENTERS ID |
P00291677 | Other | IL | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 036086015 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Gottlieb Memorial Hospital | Melrose park, IL | Hospital |
Elmhurst Memorial Hospital | Elmhurst, IL | Hospital |
Entity Name | Primecare Nephrology & Hypertension Sc Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952656167 PECOS PAC ID: 0941453765 Enrollment ID: O20130103000264 |
Mailing Address | Practice Location Address |
---|---|
Dr Osvaldo Wagener, MD 1111 Superior St, Suite 204, Melrose Park, IL 60160-4138 Ph: (708) 223-7920 | Dr Osvaldo Wagener, MD 1111 Superior St, Suite 204, Melrose Park, IL 60160-4138 Ph: (708) 223-7920 |
Dr. Samreen Mattoo, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1225 W Lake St, Melrose Park, IL 60160 Phone: 708-938-7350 | |
Constantine G Delis, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 675 W North Ave Ste 209, Melrose Park, IL 60160 Phone: 312-654-2744 Fax: 708-338-1790 | |
Anupa Rai, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1111 Superior St, Suite 101, Melrose Park, IL 60160 Phone: 708-344-2161 | |
Dr. Peyman Pahlavan, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 153 1/2 N. Broadway Avenue, Melrose Park, IL 60160 Phone: 708-345-8960 Fax: 708-345-8965 | |
Dr. Rachel Elizabeth Burt Kadar, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 675 W North Ave Ste 505, Melrose Park, IL 60160 Phone: 708-450-4557 Fax: 708-338-0200 | |
Dr. Vijay Yeldandi, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1200 Superior St, 5th Floor, Melrose Park, IL 60160 Phone: 773-205-4661 Fax: 708-938-7098 | |
David R Rosi, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 715 W North Ave, Melrose Park, IL 60160 Phone: 708-327-1518 Fax: 708-327-1501 |