Matthew Anthony Wagner, DO | |
1500 E Sherman Blvd, Muskegon, MI 49444-1849 | |
(231) 672-2000 | |
Not Available |
Full Name | Matthew Anthony Wagner |
---|---|
Gender | Male |
Speciality | Hospitalist |
Location | 1500 E Sherman Blvd, Muskegon, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700415965 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 5101027068 (Michigan) | Primary |
207R00000X | Internal Medicine | 5101027068 (Michigan) | Secondary |
Entity Name | Mercy Specialty Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629010384 PECOS PAC ID: 2365439544 Enrollment ID: O20040429000064 |
Mailing Address | Practice Location Address |
---|---|
Matthew Anthony Wagner, DO Po Box 776982, Chicago, IL 60677-6982 Ph: (231) 672-2119 | Matthew Anthony Wagner, DO 1500 E Sherman Blvd, Muskegon, MI 49444-1849 Ph: (231) 672-2000 |
Kyle Nathaniel Turcic, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1500 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-672-2000 | |
Bartholomew David Sak, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1500 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-672-3883 Fax: 231-672-3973 | |
Dr. Peyton Paul Faganel, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1675 Leahy St Ste 201a, Muskegon, MI 49442 Phone: 231-672-7800 | |
Jon Michael Carnahan, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1500 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-672-3883 Fax: 231-672-3973 | |
Dr. Sripriya Ganesan, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1675 Leahy St Ste 304b, Muskegon, MI 49442 Phone: 231-728-1695 | |
Dr. William Patrick Hughes, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1500 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-672-3883 Fax: 231-672-3973 |