Robert J Wagner, MD | |
1 Medical Village Dr, Edgewood, KY 41017 | |
(859) 301-8074 | |
(859) 301-4945 |
Full Name | Robert J Wagner |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 26 Years |
Location | 1 Medical Village Dr, Edgewood, Kentucky |
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 |
---|---|---|---|
1124018072 | NPI | - | NPPES |
2434011 | Medicaid | OH | |
64045016 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 36850 (Kentucky) | Secondary |
208M00000X | Hospitalist | 36850 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Elizabeth Edgewood | Edgewood, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Summit Medical Group, Inc | 2163326240 | 712 |
Entity Name | Summit Medical Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
Mailing Address | Practice Location Address |
---|---|
Robert J Wagner, MD Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 301-8074 | Robert J Wagner, MD 1 Medical Village Dr, Edgewood, KY 41017 Ph: (859) 301-8074 |
Dr. Jeffrey Yates, M.D., PH.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-8074 Fax: 859-301-4945 | |
Dr. Cody Alexander Van Linge, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 413 S Loop Rd, Edgewood, KY 41017 Phone: 859-301-3800 | |
Ranbir Singh Dhaliwal, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-8074 Fax: 859-301-4945 |