Gisela L Wagner, MD | |
1223 Gateway Dr, Suite 1e, Melbourne, FL 32901-2607 | |
(321) 312-3312 | |
(321) 984-8483 |
Full Name | Gisela L Wagner |
---|---|
Gender | Female |
Speciality | Otolaryngology |
Experience | 25 Years |
Location | 1223 Gateway Dr, Melbourne, Florida |
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 |
---|---|---|---|
1316916448 | NPI | - | NPPES |
94667 | Other | FL | BCBS |
278670200 | Medicaid | FL | |
P01164130 | Other | FL | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | ME98773 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Holmes Regional Medical Center | Melbourne, FL | Hospital |
Palm Bay Hospital | Palm bay, FL | Hospital |
Viera Hospital | Melbourne, FL | Hospital |
Cape Canaveral Hospital | Cocoa beach, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Health First Medical Group Llc | 7416100672 | 689 |
Entity Name | Health First Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750626495 PECOS PAC ID: 7416100672 Enrollment ID: O20130122000135 |
Mailing Address | Practice Location Address |
---|---|
Gisela L Wagner, MD 3300 S Fiske Blvd, Rockledge, FL 32955-4306 Ph: () - | Gisela L Wagner, MD 1223 Gateway Dr, Suite 1e, Melbourne, FL 32901-2607 Ph: (321) 312-3312 |
Mr. Dean Richard Lindstrom Iii, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1314 Pine St, Melbourne, FL 32901 Phone: 321-802-6697 Fax: 321-802-3158 | |
James T Go, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2290 W Eau Gallie Blvd, Suite 110, Melbourne, FL 32935 Phone: 321-421-7555 Fax: 321-421-7553 | |
Timothy O'hare, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1344 S Apollo Blvd, Ste 301, Melbourne, FL 32901 Phone: 321-676-2353 Fax: 321-951-9267 | |
Mr. James Peter Lacey, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1223 Gateway Dr Ste 1e, Melbourne, FL 32901 Phone: 321-729-8079 Fax: 321-984-8483 | |
Daniel P Sullivan, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 930 S Harbor City Blvd Ste 200, Melbourne, FL 32901 Phone: 321-674-9094 Fax: 321-674-9289 | |
Steven Ho, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1344 S Apollo Blvd, Ste 301, Melbourne, FL 32901 Phone: 321-676-2353 Fax: 321-951-9267 |