Henry W Wagner, MD | |
1 Parkland Dr, Derry, NH 03038-2746 | |
(603) 421-2220 | |
(603) 421-2223 |
Full Name | Henry W Wagner |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1 Parkland Dr, Derry, New Hampshire |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184643587 | NPI | - | NPPES |
01Y003778NH02 | Other | NH | ANTHEM |
7770294 | Other | AETNA | |
436810 | Other | HARVARD PILGRIM | |
2093171 | Medicaid | MA | |
37305 | Other | BMC HEALTHNET | |
30201995 | Medicaid | NH | |
P00209518 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 11547 (New Hampshire) | Primary |
Entity Name | Inphynet Contracting Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073556767 PECOS PAC ID: 7416865811 Enrollment ID: O20031105000125 |
Entity Name | Paragon Contracting Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20041207001148 |
Mailing Address | Practice Location Address |
---|---|
Henry W Wagner, MD 1 Parkland Dr, Derry, NH 03038-2746 Ph: (603) 421-2220 | Henry W Wagner, MD 1 Parkland Dr, Derry, NH 03038-2746 Ph: (603) 421-2220 |
Dr. Maria Michelle Diaz, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Parkland Dr, Derry, NH 03038 Phone: 603-421-2220 Fax: 603-421-2223 | |
Thomas H Scott, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Parkland Dr, Derry, NH 03038 Phone: 603-421-2220 Fax: 603-421-2223 | |
Amy Jill Margolis, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Parkland Dr, Derry, NH 03038 Phone: 603-421-2220 Fax: 603-421-2223 | |
Da H Le, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Parkland Dr, Derry, NH 03038 Phone: 603-421-2220 Fax: 603-421-2223 | |
Dr. Marc Michael Grossman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Parkland Dr, Parkland Medical Center, Derry, NH 03038 Phone: 305-415-1258 |