Dr Phillip L Wagner, MD | |
1140 Lexington Rd, Georgetown, KY 40324-9330 | |
(502) 868-1100 | |
Not Available |
Full Name | Dr Phillip L Wagner |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1140 Lexington Rd, Georgetown, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1891721833 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207P00000X | Emergency Medicine | 25974 (Kentucky) | Primary |
Entity Name | Southeastern Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
Mailing Address | Practice Location Address |
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Dr Phillip L Wagner, MD 106 Windridge Dr, Nicholasville, KY 40356-8029 Ph: () - | Dr Phillip L Wagner, MD 1140 Lexington Rd, Georgetown, KY 40324-9330 Ph: (502) 868-1100 |
Dr. David F Race, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1140 Lexington Rd, Georgetown, KY 40324 Phone: 502-868-1100 | |
John R Clark, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1140 Lexington Rd, Georgetown, KY 40324 Phone: 502-868-1100 | |
Scott Harrison, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 122 Cherry Hill Dr, Georgetown, KY 40324 Phone: 502-570-8502 | |
Kevin Downes, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1140 Lexington Rd, Georgetown, KY 40324 Phone: 502-868-1100 | |
Dr. Patrick Michael Cellarosi-yorba, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1140 Lexington Rd, Georgetown, KY 40324 Phone: 502-868-1100 | |
Dr. Michael B Chesnut, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1140 Lexington Rd, Georgetown, KY 40324 Phone: 502-868-1100 |