Thomas Wagner, DO | |
34960 Center Ridge Rd, N Ridgeville, OH 44039-3183 | |
(440) 353-3433 | |
(440) 353-3431 |
Full Name | Thomas Wagner |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 26 Years |
Location | 34960 Center Ridge Rd, N Ridgeville, Ohio |
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 |
---|---|---|---|
1669464673 | NPI | - | NPPES |
P00103662 | Other | OH | RR MEDICARE |
2253832 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 34007204 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Uh St John Medical Center | Westlake, OH | Hospital |
University Hospitals - Elyria Medical Center | Elyria, OH | Hospital |
University Hospitals Of Cleveland | Cleveland, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Primary Care Practices Inc | 3072417534 | 930 |
Entity Name | University Primary Care Practices Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
Mailing Address | Practice Location Address |
---|---|
Thomas Wagner, DO 26908 Detroit Rd, Suite 301, Westlake, OH 44145-2398 Ph: (440) 617-1823 | Thomas Wagner, DO 34960 Center Ridge Rd, N Ridgeville, OH 44039-3183 Ph: (440) 353-3433 |
Frank M Hiti, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6115 Emerald St, N Ridgeville, OH 44039 Phone: 440-327-7372 Fax: 440-327-0629 | |
Douglas J Potoczak, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6115 Emerald St, N Ridgeville, OH 44039 Phone: 440-406-5800 Fax: 216-201-6914 | |
Gabriella Palma, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 34960 Center Ridge Rd, N Ridgeville, OH 44039 Phone: 440-353-3433 Fax: 440-353-3431 | |
James Carroccio, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6115 Emerald St, N Ridgeville, OH 44039 Phone: 440-327-7372 Fax: 440-327-0629 |