Kathryn R Wagner, MD | |
10 Belvidere Ave, Worcester, MA 01605 | |
(952) 595-1100 | |
(612) 294-4903 |
Full Name | Kathryn R Wagner |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 13 Years |
Location | 10 Belvidere Ave, Worcester, Massachusetts |
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 |
---|---|---|---|
1043508617 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 304543 (Louisiana) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 269724 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
William W Backus Hospital | Norwich, CT | Hospital |
The Hospital Of Central Connecticut | New britain, CT | Hospital |
Midstate Medical Center | Meriden, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Meriden Imaging Center Inc | 4385683556 | 49 |
Midstate Radiology Associates, Llc | 4880593565 | 74 |
Entity Name | Midstate Radiology Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578518999 PECOS PAC ID: 4880593565 Enrollment ID: O20031231000543 |
Entity Name | Diagnostic Imaging Services Of Ct Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093760431 PECOS PAC ID: 3577465111 Enrollment ID: O20040123000288 |
Entity Name | Meriden Imaging Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508812561 PECOS PAC ID: 4385683556 Enrollment ID: O20050427000621 |
Mailing Address | Practice Location Address |
---|---|
Kathryn R Wagner, MD 11995 Singletree Ln, Ste 500, Eden Prairie, MN 55344-5347 Ph: (952) 595-1301 | Kathryn R Wagner, MD 10 Belvidere Ave, Worcester, MA 01605 Ph: (952) 595-1100 |
Dominique Rowcroft, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3850 | |
Alan Goldstein, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3850 Fax: 508-856-1860 | |
Nicholas Charles Fasano, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave North, Worcester, MA 01655 Phone: 508-334-3850 | |
Jasmeet Singh, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3850 Fax: 508-334-9108 | |
John Robinson, Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3850 | |
Fareed Riyaz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 978-939-2035 Fax: 978-939-2039 | |
Dr. Elias H Salloum, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-363-6177 |