Richard G Waggener, MD | |
3366 Oakdale Ave N, Robbinsdale, MN 55422-2948 | |
(763) 398-6383 | |
Not Available |
Full Name | Richard G Waggener |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 36 Years |
Location | 3366 Oakdale Ave N, Robbinsdale, Minnesota |
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 |
---|---|---|---|
1518917830 | NPI | - | NPPES |
2136905 | Medicaid | OH | |
64325491 | Medicaid | KY | |
1054560 | Medicaid | KY | |
200114300 | Medicaid | IN | |
274540900A | Medicaid | GA | |
000000062498 | Other | KY | ANTHEM BLUE FACET |
01773615 | Medicaid | NY | |
4817171 | Medicaid | MI | |
XPY200541 | Medicaid | CA | |
060794701 | Medicaid | TX | |
909773200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 32784 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Memorial Health | Robbinsdale, MN | Hospital |
Baptist Health Lagrange | La grange, KY | Hospital |
Maple Grove Hospital | Maple grove, MN | Hospital |
Centracare Health - Monticello | Monticello, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tyson Schwab Short And Weiss Psc | 0244125862 | 13 |
Baptist Health Medical Group Inc | 5597867184 | 1934 |
Minneapolis Radiology Associates Ltd | 5698661007 | 40 |
Minnesota Diagnostic Imaging Partners Llc | 5890681209 | 31 |
Entity Name | Tyson Schwab Short & Weiss Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194774760 PECOS PAC ID: 0244125862 Enrollment ID: O20040220000791 |
Entity Name | Baptist Health Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740586213 PECOS PAC ID: 5597867184 Enrollment ID: O20070228000503 |
Mailing Address | Practice Location Address |
---|---|
Richard G Waggener, MD 2800 Campus Dr Ste 10, Plymouth, MN 55441-8812 Ph: (763) 559-2171 | Richard G Waggener, MD 3366 Oakdale Ave N, Robbinsdale, MN 55422-2948 Ph: (763) 398-6383 |
William Nathan Lisberg, MD Radiology Medicare: Medicare Enrolled Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-559-2171 Fax: 763-694-9000 | |
Troy Dean Long, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-559-2171 Fax: 763-694-9000 | |
Mark Alan Pilot, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-559-2171 Fax: 763-694-9000 | |
Dr. Andrew James Frager, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Meridian Dr, Robbinsdale, MN 55422 Phone: 763-529-9240 | |
Andrew J Ruppert, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Avenue North, Robbinsdale, MN 55422 Phone: 763-398-6611 Fax: 763-398-6601 | |
Andrew William Evelsizer, Radiology Medicare: Accepting Medicare Assignments Practice Location: 3366 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-398-6383 | |
Brian Thomas Larkin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-559-2171 Fax: 763-694-9000 |