John Raymond Wagner, MD in East Northport, NY - Medicare Obstetrics/gynecology

John Raymond Wagner, MD is a medicare enrolled "Obstetrics & Gynecology" physician in East Northport, New York. He went to Icahn School Of Medicine At Mount Sinai and graduated in 1987 and has 37 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice North Shore - Lij Medical Pc and his current practice location is 7 Pulaski Rd, East Northport, New York. You can reach out to his office (for appointments etc.) via phone at (631) 261-3322.

John Raymond Wagner is licensed to practice in New York (license number 181212) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1538120704.

Contact Information

	John Raymond Wagner, MD
	7 Pulaski Rd, East Northport, NY 11731-2442
	(631) 261-3322
	(631) 368-5440

Map and Direction

Physician's Profile

Full Name	John Raymond Wagner
Gender	Male
Speciality	Obstetrics/gynecology
Experience	37 Years
Location	7 Pulaski Rd, East Northport, New York
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

John Raymond Wagner attended and graduated from Icahn School Of Medicine At Mount Sinai in 1987

NPI Data:

NPI Number: 1538120704
Provider Enumeration Date: 03/29/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6507911393
Enrollment ID: I20100504000001

Medical Identifiers

Medical identifiers for John Raymond Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538120704	NPI	-	NPPES
01280253	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	181212 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ns/lij Hs Huntington Hospital	Huntington, NY	Hospital
North Shore University Hospital	Manhasset, NY	Hospital
Good Samaritan Hospital Medical Center	West islip, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Shore - Lij Medical Pc	3375701568	5120

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 Raymond Wagner allows following entities to bill medicare on his behalf.

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

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 Raymond 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
John Raymond Wagner, MD 7 Pulaski Rd, East Northport, NY 11731-2442 Ph: (631) 261-3322	John Raymond Wagner, MD 7 Pulaski Rd, East Northport, NY 11731-2442 Ph: (631) 261-3322

Reviews and Comments

Obstetrics & Gynecology Doctors in East Northport, NY

Martin I Granoff, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 554 Larkfield Rd, East Northport, NY 11731 Phone: 631-368-3800
Theodore Lyle Goldman, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 7 Pulaski Rd, East Northport, NY 11731 Phone: 631-261-3322 Fax: 631-368-5440

John Raymond Wagner, MD - Medicare Obstetrics/gynecology in East Northport, NY