John E Wagner, MD - Medicare Pediatrics in Minneapolis, MN

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John E Wagner, MD is a medicare enrolled "Pediatrics - Pediatric Hematology-oncology" physician in Minneapolis, Minnesota. His current practice location is 516 Delaware St Se, Pwb Fifth Floor, Suite 5-100, Clinic 5b, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 626-2663.

John E Wagner is licensed to practice in Minnesota (license number 34354) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205933595.

Contact Information

John E Wagner, MD
516 Delaware St Se, Pwb Fifth Floor, Suite 5-100, Clinic 5b,
Minneapolis, MN 55455-0356
(612) 626-2663
Not Available

Map and Direction




Physician's Profile

Full NameJohn E Wagner
GenderMale
SpecialityPediatrics - Pediatric Hematology-oncology
Location516 Delaware St Se, Minneapolis, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205933595
  • Provider Enumeration Date: 09/20/2006
  • Last Update Date: 10/29/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 5395818538
  • Enrollment ID: I20080721000527

Medical Identifiers

Medical identifiers for John E Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205933595NPI-NPPES
090290OtherMNFAIRVIEW
100981OtherMNUCARE
837207100MedicaidMN
1896241MedicaidLA
2T332WAOtherMNBLUE CROSS BLUE SHIELD
1970657MedicaidIA
2086719201MedicaidKS
10387MedicaidND
1688300MedicaidWI
3624608OtherMNMEDICA - CHOICE
3674548OtherMNMEDICA - PRIMARY
HP22006OtherMNHEALTHPARTNERS
1009344OtherMNPREFERREDONE
768393OtherMNARAZ
7777470MedicaidSD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 34354 (Minnesota)Secondary
2080P0207XPediatrics - Pediatric Hematology-oncology 34354 (Minnesota)Primary

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. John E Wagner allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Minnesota Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477598118
PECOS PAC ID: 9830001189
Enrollment ID: O20031104000532
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameFairview Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516
Entity NameHealtheast Medical Research Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639125503
PECOS PAC ID: 3971407636
Enrollment ID: O20031124000507
Entity NameHealtheast St Joseph's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134186273
PECOS PAC ID: 2365348869
Enrollment ID: O20031208000245
Entity NameHealtheast St John's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447218482
PECOS PAC ID: 9234035742
Enrollment ID: O20031208000320
Entity NameHealtheast Care System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194787465
PECOS PAC ID: 7214833763
Enrollment ID: O20031208000483
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548
Entity NameUniversity Of Minnesota Health Clinics And Surgery Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053795187
PECOS PAC ID: 9133423304
Enrollment ID: O20160209000524

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. John E 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
John E Wagner, MD
420 Delaware St Se, Mmc 692,university Of Minnesota Physicians,
Minneapolis, MN 55455-0341

Ph: (612) 626-2663		John E Wagner, MD
516 Delaware St Se, Pwb Fifth Floor, Suite 5-100, Clinic 5b,
Minneapolis, MN 55455-0356

Ph: (612) 626-2663

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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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