Ida Janelle Wagner, MD in Philadelphia, PA

Ida Janelle Wagner, MD is a medicare enrolled "Surgery" physician in Philadelphia, Pennsylvania. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Hand Surgery. She is a member of the group practice Virtua Medical Group, Pa and her current practice location is 3509 N Broad St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 707-3933.

Ida Janelle Wagner is licensed to practice in New Jersey (license number 25MA11470600) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689839177.

Contact Information

	Ida Janelle Wagner, MD
	3509 N Broad St, Philadelphia, PA 19140-4105
	(215) 707-3933
	(215) 707-2531

Map and Direction

Physician's Profile

Full Name	Ida Janelle Wagner
Gender	Female
Speciality	Hand Surgery
Experience	19 Years
Location	3509 N Broad St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ida Janelle Wagner graduated from medical school in 2005

NPI Data:

NPI Number: 1689839177
Provider Enumeration Date: 07/23/2008
Last Update Date: 08/24/2022

Medicare PECOS Information:

PECOS PAC ID: 8921176082
Enrollment ID: I20220607000305

Medical Identifiers

Medical identifiers for Ida Janelle Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689839177	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	MD434346 (Pennsylvania)	Secondary
208600000X	Surgery	25MA11470600 (New Jersey)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Virtua West Jersey Hospitals	Voorhees, NJ	Hospital
Virtua Memorial Hospital Of Burlington County	Mount holly, NJ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Virtua Medical Group, Pa	9830222397	1260

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. Ida Janelle Wagner allows following entities to bill medicare on her behalf.

Entity Name	Virtua Medical Group, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338

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. Ida Janelle 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 Address	Practice Location Address
Ida Janelle Wagner, MD 2450 W Hunting Park Ave, Philadelphia, PA 19129-1302 Ph: (215) 707-3933	Ida Janelle Wagner, MD 3509 N Broad St, Philadelphia, PA 19140-4105 Ph: (215) 707-3933

Reviews and Comments

Surgery Doctors in Philadelphia, PA

Elizabeth Diane Dauer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-3133 Fax: 215-707-2915
Dr. Susete Carneiro, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 201-317-3485
Victor Kim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3900 Woodland Ave, Philadelphia, PA 19104 Phone: 215-823-5800
Jovanna Micole Linnen, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 245 N 15th St, Room 7150, Philadelphia, PA 19102 Phone: 215-762-3585 Fax: 215-762-3058
Simran Kripalani, MD Surgery Medicare: Medicare Enrolled Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-717-2000
Adrian W Ong, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, 2 Dulles, Philadelphia, PA 19104 Phone: 215-662-7320 Fax: 412-359-8639
Rajeev Prasad, M.D. Surgery Medicare: Medicare Enrolled Practice Location: Erie Ave At Front St, Scpa General Surgery, Philadelphia, PA 19134 Phone: 215-427-5446 Fax: 215-427-4616

Ida Janelle Wagner, MD - Medicare Hand Surgery in Philadelphia, PA