Robert Wagner, MD | |
1361 W Fremont St, Galesburg, IL 61401-2436 | |
(309) 344-2225 | |
(309) 344-2230 |
Full Name | Robert Wagner |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 50 Years |
Location | 1361 W Fremont St, Galesburg, Illinois |
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 |
---|---|---|---|
1588663017 | NPI | - | NPPES |
036051902 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036051902 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hospice Compassus - Northwest Illinois | Galesburg, IL | Hospice |
St Mary Medical Center | Galesburg, IL | Hospital |
Seminary Manor | Galesburg, IL | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Osf Multi-specialty Group | 3678889789 | 1552 |
Knox Community Health Center Nfp | 7618126327 | 2 |
Entity Name | Knox Clinic Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265481006 PECOS PAC ID: 6305813411 Enrollment ID: O20040916000542 |
Entity Name | Knox Community Health Center Nfp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649526773 PECOS PAC ID: 7618126327 Enrollment ID: O20130221000169 |
Entity Name | Osf Multi-specialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Entity Name | Hospital Care Consultants Of Galesburg Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801242474 PECOS PAC ID: 1456643113 Enrollment ID: O20160718000343 |
Mailing Address | Practice Location Address |
---|---|
Robert Wagner, MD 1361 W Fremont St, Galesburg, IL 61401-2436 Ph: (309) 344-2225 | Robert Wagner, MD 1361 W Fremont St, Galesburg, IL 61401-2436 Ph: (309) 344-2225 |
Robert Ayers, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-3161 | |
Robert Currie, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 834 N Seminary St, 201, Galesburg, IL 61401 Phone: 309-343-7130 | |
Mrs. Harsha Shrikant Mehta, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 575 N Kellogg St, Suite 2, Galesburg, IL 61401 Phone: 309-343-0160 Fax: 309-343-4137 | |
Robert Hickerson, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3375 N Seminary St, Galesburg, IL 61401 Phone: 309-343-5114 Fax: 309-343-7859 | |
Dr. Julio A Santiago, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 256 S Soangetaha Rd, Galesburg, IL 61401 Phone: 309-233-2836 Fax: 888-464-1233 | |
James Nesselroad, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3375 N Seminary St, Galesburg, IL 61401 Phone: 309-343-5114 Fax: 309-343-7859 | |
Keith Peachey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 834 N Seminary St, 201, Galesburg, IL 61401 Phone: 309-343-7135 |