Mark T Wagner, DO | |
1248 Kinneys Ln, Portsmouth, OH 45662-2994 | |
(740) 356-7290 | |
(740) 356-7938 |
Full Name | Mark T Wagner |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 41 Years |
Location | 1248 Kinneys Ln, Portsmouth, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346373446 | NPI | - | NPPES |
0557642 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 34003690W (Ohio) | Secondary |
207Q00000X | Family Medicine | 34.003690 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southern Ohio Medical Center | Portsmouth, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Somc Medical Care Foundation, Inc. | 9436061645 | 234 |
Entity Name | Somc Medical Care Foundation, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457467227 PECOS PAC ID: 9436061645 Enrollment ID: O20031125000203 |
Entity Name | Emergency Professional Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864 |
Mailing Address | Practice Location Address |
---|---|
Mark T Wagner, DO 1735 27th St Ste B06, Portsmouth, OH 45662-2681 Ph: (740) 356-8681 | Mark T Wagner, DO 1248 Kinneys Ln, Portsmouth, OH 45662-2994 Ph: (740) 356-7290 |
Dr. Rita Sue Roberts, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1735 27th St, Waller Building, Suite 206, Portsmouth, OH 45662 Phone: 740-354-7600 Fax: 740-354-7654 | |
Dr. Jeffrey Ray Hill, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1611 27th St, Fulton Building Suite 301, Portsmouth, OH 45662 Phone: 740-353-4663 Fax: 740-354-4258 | |
Daren Barker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Argonne Rd, Portsmouth, OH 45662 Phone: 740-991-0911 | |
Dr. Angela K Ailes-frick, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2001 Scioto Trl, Suite 100, Portsmouth, OH 45662 Phone: 740-353-6390 Fax: 740-353-6290 | |
Christopher W. Aviles, Family Medicine Medicare: Medicare Enrolled Practice Location: 1907 11th St, Portsmouth, OH 45662 Phone: 513-941-4999 Fax: 513-694-0168 | |
Dr. Jitendra K Patel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 723 8th St, Portsmouth, OH 45662 Phone: 740-353-5306 Fax: 740-353-8131 | |
Jessica Nicole Powell, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1248 Kinneys Ln, Portsmouth, OH 45662 Phone: 740-356-7290 Fax: 740-356-7938 |