Elliott Jay Wagner, MD - Medicare Diagnostic Radiology in New York, NY

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Elliott Jay Wagner, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in New York, New York. He went to New York University School Of Medicine and graduated in 1978 and has 46 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Arizona Diagnostic Radiology Group Llc, Vesta Telemedicine Solutions Pc, Beverly Radiology Medical Group Iii, Kan-di-ki Llc, Suburban Medical Group Llc, Reono Bertagnolli A Medical Group, Vesta Telemedicine Solutions Pllc, Reono Bertagnolli A Medical Group, Rapid Radiology Inc, Kan-di-ki Llc, Suburban Medical Group Llc, Rapid Radiology Inc, Rapid Radiology Inc, Vesta Telemedicine Solutions Pllc, Rapid Radiology Inc, Reono Bertagnolli A Medical Group, Rapid Radiology Inc, Cigna Healthcare Of Arizona Inc, Arizona Diagnostic Radiology Group Llc, Sms Do Pa, Rapid Radiology Inc, Franklin County Board Of County Commissioners, Rapid Radiology Inc, Rapid Radiology Inc, Fresno Imaging Center, Beverly Radiology Medical Group Iii, Desert Advanced Imaging Medical Center, Rapid Radiology Inc, Kan-di-ki Llc, Capital Health Multispecialty Group, Rapid Radiology Inc, Rapid Radiology Inc and his current practice location is 200 E 66th St Apt C904, New York, New York. You can reach out to his office (for appointments etc.) via phone at (949) 378-4889.

Elliott Jay Wagner is licensed to practice in California (license number G49698) 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 1558312579.

Contact Information

Elliott Jay Wagner, MD
200 E 66th St Apt C904,
New York, NY 10065-0163
(949) 378-4889
(212) 752-2190

Map and Direction




Physician's Profile

Full NameElliott Jay Wagner
GenderMale
SpecialityDiagnostic Radiology
Experience46 Years
Location200 E 66th St Apt C904, New York, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Elliott Jay Wagner attended and graduated from New York University School Of Medicine in 1978
  NPI Data:
  • NPI Number: 1558312579
  • Provider Enumeration Date: 05/15/2006
  • Last Update Date: 05/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7416856745
  • Enrollment ID: I20071012000000

Medical Identifiers

Medical identifiers for Elliott Jay Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558312579NPI-NPPES
00G496980OtherCABLUE SHIELD
02917751MedicaidNY
00G496980MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 238657-1 (New York)Secondary
2085R0202XRadiology - Diagnostic Radiology 25MA08122100 (New Jersey)Secondary
2085R0202XRadiology - Diagnostic Radiology MD2008-0777 (New Mexico)Secondary
2085R0202XRadiology - Diagnostic Radiology G49698 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Capital Health Medical Center - HopewellPennington, NJHospital
St Francis Hospital- Emory HealthcareColumbus, GAHospital
El Centro Regional Medical CenterEl centro, CAHospital
Lower Bucks HospitalBristol, PAHospital
Suburban Community HospitalNorristown, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Arizona Diagnostic Radiology Group Llc165879685961
Vesta Telemedicine Solutions Pc236585094829
Beverly Radiology Medical Group Iii3476466376246
Kan-di-ki Llc599173714023
Suburban Medical Group Llc620414564236
Reono Bertagnolli A Medical Group680070978342
Vesta Telemedicine Solutions Pllc963858570624
Reono Bertagnolli A Medical Group680070978342
Rapid Radiology Inc206273485855
Kan-di-ki Llc599173714023
Suburban Medical Group Llc620414564236
Rapid Radiology Inc206273485855
Rapid Radiology Inc206273485855
Vesta Telemedicine Solutions Pllc963858570624
Rapid Radiology Inc206273485855
Reono Bertagnolli A Medical Group680070978342
Rapid Radiology Inc206273485855
Cigna Healthcare Of Arizona Inc1456263573125
Arizona Diagnostic Radiology Group Llc165879685961
Sms Do Pa014320753025
Rapid Radiology Inc206273485855
Franklin County Board Of County Commissioners327454111518
Rapid Radiology Inc206273485855
Rapid Radiology Inc206273485855
Fresno Imaging Center246655312846
Beverly Radiology Medical Group Iii3476466376246
Desert Advanced Imaging Medical Center6406749613144
Rapid Radiology Inc206273485855
Kan-di-ki Llc599173714023
Capital Health Multispecialty Group1850689894247
Rapid Radiology Inc206273485855
Rapid Radiology Inc206273485855

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. Elliott Jay Wagner allows following entities to bill medicare on his behalf.
Entity NameRamapo Imaging Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932150935
PECOS PAC ID: 6901705060
Enrollment ID: O20040107000757
Entity NameZwanger & Pesiri Radiology Group Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477523413
PECOS PAC ID: 5092700799
Enrollment ID: O20040420000622
Entity NameMillennium Medical Imaging Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235114182
PECOS PAC ID: 5799776910
Enrollment ID: O20040518001125
Entity NameSymphony Diagnostic Services No 1 Llc
Entity TypePart B Supplier - Portable X-ray Supplier
Entity IdentifiersNPI Number: 1700865094
PECOS PAC ID: 5193638765
Enrollment ID: O20110208000573
Entity NameRadadvantage A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376719666
PECOS PAC ID: 2163597899
Enrollment ID: O20140820001550
Entity NameKan-di-ki Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750364345
PECOS PAC ID: 5991737140
Enrollment ID: O20150114001629
Entity NameDesert Advanced Imaging Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568416147
PECOS PAC ID: 6406749613
Enrollment ID: O20150916001094
Entity NameRenaissance Imaging Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487608931
PECOS PAC ID: 7315841756
Enrollment ID: O20151207001697
Entity NameBeverly Radiology Medical Group Iii
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962457812
PECOS PAC ID: 3476466376
Enrollment ID: O20160105002652
Entity NameSimonmed Imaging Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477830818
PECOS PAC ID: 6608036108
Enrollment ID: O20160913001004
Entity NameCommunity Mobile Diagnostics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023104007
PECOS PAC ID: 4789610643
Enrollment ID: O20160928000710
Entity NameCommunity Mobile Ultrasound Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760620959
PECOS PAC ID: 4183761893
Enrollment ID: O20161018000845
Entity NameStockton Diagnostic Imaging
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356538201
PECOS PAC ID: 0749386894
Enrollment ID: O20171010000443
Entity NameReono Bertagnolli A Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134424005
PECOS PAC ID: 6800709783
Enrollment ID: O20180502002269
Entity NameSmi Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972004489
PECOS PAC ID: 3476696220
Enrollment ID: O20180913002243
Entity NameGarden State Healthcare Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700014545
PECOS PAC ID: 8426190687
Enrollment ID: O20190103000021
Entity NameConcord Radiology Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598260515
PECOS PAC ID: 8628332061
Enrollment ID: O20191002001423
Entity NameHoward John Simon Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932768934
PECOS PAC ID: 1658602263
Enrollment ID: O20191014000834
Entity NameHealth Diagnostics Of California A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104321959
PECOS PAC ID: 4284621525
Enrollment ID: O20200124000081
Entity NameFresno Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659456499
PECOS PAC ID: 2466553128
Enrollment ID: O20200529000297
Entity NamePco Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881230563
PECOS PAC ID: 5395179329
Enrollment ID: O20200610001447
Entity NameSingleton Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538107875
PECOS PAC ID: 6305731118
Enrollment ID: O20200623000118
Entity NameCentral Valley Community Medical Imaging
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376637264
PECOS PAC ID: 5799679874
Enrollment ID: O20200625000237
Entity NameRadiologic Associates Of Northwest Arizona Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316483720
PECOS PAC ID: 1355628215
Enrollment ID: O20200728003063
Entity NameBridgeport Radiological Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962488981
PECOS PAC ID: 0941291082
Enrollment ID: O20200804002541
Entity NameOn-line Radiology Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710158498
PECOS PAC ID: 0648311548
Enrollment ID: O20201013002720
Entity NameAdvanced Radiology Solutions
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467863068
PECOS PAC ID: 5597985507
Enrollment ID: O20210311000384
Entity NameHoward Simon Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659930998
PECOS PAC ID: 7214369966
Enrollment ID: O20210318001764
Entity NameVesta Telemedicine Solutions Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952902116
PECOS PAC ID: 9638585706
Enrollment ID: O20210430000801
Entity NameArizona Diagnostic Radiology Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336757699
PECOS PAC ID: 1658796859
Enrollment ID: O20211028002494
Entity NameSuburban Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710355029
PECOS PAC ID: 6204145642
Enrollment ID: O20220629000292
Entity NameMeridian Teleradiology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922330471
PECOS PAC ID: 8820479660
Enrollment ID: O20220725003089
Entity NameNorton Clark Physician Practices Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083098651
PECOS PAC ID: 0840504114
Enrollment ID: O20221017000086
Entity NameRfc Radiology Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437478302
PECOS PAC ID: 8022141894
Enrollment ID: O20221229000264
Entity NameClinical Radiologists Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063469252
PECOS PAC ID: 3476540873
Enrollment ID: O20230131003260
Entity NameVesta Telemedicine Solutions Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710571153
PECOS PAC ID: 2365850948
Enrollment ID: O20230517001373
Entity NameRadiology Associates Of Albuquerque Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881666998
PECOS PAC ID: 2860304482
Enrollment ID: O20230612002891
Entity NameLansing Radiology Associates P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669425658
PECOS PAC ID: 4486552148
Enrollment ID: O20230707000136
Entity NameFt Jesse Imaging Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245287143
PECOS PAC ID: 1951379106
Enrollment ID: O20230731002871
Entity NameKent Diagnostic Radiology Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417044298
PECOS PAC ID: 3971591371
Enrollment ID: O20230929002016

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. Elliott Jay 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 AddressPractice Location Address
Elliott Jay Wagner, MD
200 East 66th St, C904,
New York, NY 10065-9175

Ph: (888) 886-5238		Elliott Jay Wagner, MD
200 E 66th St Apt C904,
New York, NY 10065-0163

Ph: (949) 378-4889

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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