Dr Peter J Wagner, MD | |
2 Dudley St Ste 200, Providence, RI 02905 | |
(401) 330-1476 | |
Not Available |
Full Name | Dr Peter J Wagner |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 12 Years |
Location | 2 Dudley St Ste 200, Providence, Rhode Island |
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 |
---|---|---|---|
1285995100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 253099 (Massachusetts) | Secondary |
207X00000X | Orthopaedic Surgery | MD16294 (Rhode Island) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lawrence & Memorial Hospital | New london, CT | Hospital |
William W Backus Hospital | Norwich, CT | Hospital |
Westerly Hospital | Westerly, RI | Hospital |
Windham Community Memorial Hospital | Willimantic, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Norwich Orthopedic Group Pc | 6709820798 | 43 |
Norwich Orthopedic Group Pc | 6709820798 | 43 |
Entity Name | Norwich Orthopedic Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154032761 PECOS PAC ID: 6709820798 Enrollment ID: O20230126001746 |
Mailing Address | Practice Location Address |
---|---|
Dr Peter J Wagner, MD Po Box 1119, Providence, RI 02901-1119 Ph: (401) 443-4150 | Dr Peter J Wagner, MD 2 Dudley St Ste 200, Providence, RI 02905 Ph: (401) 330-1476 |
Jeffrey Okewunmi, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4030 | |
Dr. Daniel Aaron Portney, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2 Dudley St Ste 200, Providence, RI 02905 Phone: 401-457-1500 | |
Lauren Elizabeth Piana, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4030 Fax: 401-444-6182 | |
Dr. Stanley John Stutz Jr., Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 21 Peace St, Corporate Care, Providence, RI 02907 Phone: 401-456-4020 Fax: 401-456-4203 | |
Dr. Phillip R Lucas, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Dudley St, Providence, RI 02905 Phone: 401-457-2102 | |
Dr. Devan Patel, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Dudley St Ste 200, Providence, RI 02905 Phone: 401-443-4205 | |
Dr. Alexander Orfanos, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2 Dudley St Ste 200, Providence, RI 02905 Phone: 401-457-1500 |