Dr Theresa Ebanks Wagner, MD | |
925 Starwood Dr, Cedar Park, TX 78613 | |
(512) 327-7000 | |
(512) 259-3802 |
Full Name | Dr Theresa Ebanks Wagner |
---|---|
Gender | Female |
Speciality | Ophthalmology |
Experience | 36 Years |
Location | 925 Starwood Dr, Cedar Park, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912984857 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | H6185 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Texan Eye, Pa | 2466440458 | 15 |
Entity Name | Texan Eye, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205813961 PECOS PAC ID: 2466440458 Enrollment ID: O20040506000650 |
Mailing Address | Practice Location Address |
---|---|
Dr Theresa Ebanks Wagner, MD 5717 Balcones Dr, Austin, TX 78731-4203 Ph: (512) 327-7000 | Dr Theresa Ebanks Wagner, MD 925 Starwood Dr, Cedar Park, TX 78613 Ph: (512) 327-7000 |
John William Branch, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1130 Cottonwood Creek Trl Ste D4, Cedar Park, TX 78613 Phone: 512-551-5500 Fax: 512-551-5509 | |
Todd Robert Shepler, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 11901 W Parmer Ln, 400, Cedar Park, TX 78613 Phone: 512-528-1144 Fax: 512-528-1143 | |
Amy Neuhoff Robertson, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 12171 W Parmer Ln, Ste 201, Cedar Park, TX 78613 Phone: 512-528-1144 Fax: 512-528-1143 | |
Ms. Pooja Godara, M.D Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 925 Starwood Dr., Cedar Park, TX 78613 Phone: 512-327-7000 Fax: 512-259-3802 | |
Dr. Ami Amar Shah Vira, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 210 N Lakeline Blvd Ste 100, Cedar Park, TX 78613 Phone: 512-553-9545 | |
Dr. Vincent Anthony Restivo, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 12171 W Parmer Ln, Suite 201, Cedar Park, TX 78613 Phone: 512-528-1144 Fax: 512-528-1143 | |
Dr. Chaitanya Indukuri, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 13625 Ronald Reagan Blvd, Bldg 9, Ste 100, Cedar Park, TX 78613 Phone: 512-856-5645 |