George M Wagner, MD | |
100 State Ave, Faribault, MN 55021-6337 | |
(507) 334-3921 | |
(507) 332-5299 |
Full Name | George M Wagner |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 36 Years |
Location | 100 State Ave, Faribault, Minnesota |
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 |
---|---|---|---|
1356301048 | NPI | - | NPPES |
779502500 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 34981 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Allina Health Home Health | Saint paul, MN | Home health agency |
Adara Home Health Inc | Buffalo, MN | Home health agency |
District One Hospital | Faribault, MN | Hospital |
Abbott Northwestern Hospital | Minneapolis, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Allina Health System | 4587573613 | 3101 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
Mailing Address | Practice Location Address |
---|---|
George M Wagner, MD 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000 | George M Wagner, MD 100 State Ave, Faribault, MN 55021-6337 Ph: (507) 334-3921 |
Mysoon Ayuob, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 State Ave, Faribault, MN 55021 Phone: 150-733-3330 | |
Sigrid Anne Nelson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 State Ave, Faribault, MN 55021 Phone: 507-334-3921 Fax: 507-332-6668 | |
Brenda Joyce Hurtt, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 924 1st St Ne, Faribault, MN 55021 Phone: 507-333-3300 Fax: 507-333-3214 | |
Ray W Wood, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 State Ave, Faribault, MN 55021 Phone: 507-334-3921 Fax: 507-332-6668 | |
Julie A Donahue, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 State Ave, Faribault, MN 55021 Phone: 507-334-3921 | |
Wendy M Bongers, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 924 1st St Ne, Faribault, MN 55021 Phone: 507-333-3300 Fax: 507-333-3258 |