Richard Wagner, MD | |
2900 S Loop 256, Palestine, TX 75801-6958 | |
(903) 731-1144 | |
Not Available |
Full Name | Richard Wagner |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 32 Years |
Location | 2900 S Loop 256, Palestine, Texas |
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 |
---|---|---|---|
1881647956 | NPI | - | NPPES |
096949512 | Medicaid | TX | |
096949513 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 35C.001377 (Ohio) | Secondary |
207PE0004X | Emergency Medicine - Emergency Medical Services | J4594 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Golden Plains Community Hospital | Borger, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ess Of South Texas Llc | 9739491176 | 14 |
Entity Name | Concord Medical Group Of Texas Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
Entity Name | Ess Of South Texas Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295128247 PECOS PAC ID: 9739491176 Enrollment ID: O20150629000248 |
Entity Name | Ess Of Fairfield Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588132856 PECOS PAC ID: 9234475526 Enrollment ID: O20190108000545 |
Entity Name | Ess Of Lubbock Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174255251 PECOS PAC ID: 8729460134 Enrollment ID: O20220802001691 |
Mailing Address | Practice Location Address |
---|---|
Richard Wagner, MD 904 Drane Pl, Corsicana, TX 75110-2536 Ph: () - | Richard Wagner, MD 2900 S Loop 256, Palestine, TX 75801-6958 Ph: (903) 731-1144 |
Heidi Christine Knowles, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 S Loop 256, Palestine, TX 75801 Phone: 903-731-1144 | |
George Eric Schroeder, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 S Loop 256, Palestine, TX 75801 Phone: 903-731-1144 | |
Chad Crystal, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2900 S Loop 256, Palestine, TX 75801 Phone: 903-731-1144 | |
Dr. Sunao Lynette Gilbert, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 S Loop 256, Palestine, TX 75801 Phone: 903-773-1153 | |
Nejla Shami, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2900 S Loop 256, Palestine, TX 75801 Phone: 903-731-1144 | |
Benjamin Constante, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 S Loop 256, Palestine, TX 75801 Phone: 903-731-1144 | |
Christopher William Garrett, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 S Loop 256, Palestine, TX 75801 Phone: 903-731-1144 |