| Todd Emmit Wagner, MD | |
|
21100 Southgate Park Blvd, Maple Heights, OH 44137-3004 | |
| (216) 663-6100 | |
| (216) 395-1071 |
| Full Name | Todd Emmit Wagner |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 21100 Southgate Park Blvd, Maple Heights, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063674299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35.099746 (Ohio) | Primary |
| Entity Name | Signature Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679767289 PECOS PAC ID: 8628970985 Enrollment ID: O20040126000762 |
| Mailing Address | Practice Location Address |
|---|---|
| Todd Emmit Wagner, MD 21100 Southgate Park Blvd, Maple Heights, OH 44137-3004 Ph: (216) 663-6100 | Todd Emmit Wagner, MD 21100 Southgate Park Blvd, Maple Heights, OH 44137-3004 Ph: (216) 663-6100 |
Dr. Joseph Chester Orzechowski, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5264 Lee Rd, Maple Heights, OH 44137 Phone: 216-294-4440 Fax: 216-249-6032 | |
Eugene S Balkovec, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15003 Turney Rd, Maple Heights, OH 44137 Phone: 216-640-9525 | |
David D Mccarther, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5264 Lee Rd, Maple Heights, OH 44137 Phone: 216-294-4440 Fax: 216-249-6032 | |
Vadhya Elivert, D.O Family Medicine Medicare: Medicare Enrolled Practice Location: 5264 Lee Rd Ste 108, Maple Heights, OH 44137 Phone: 216-294-4440 Fax: 216-249-6032 | |
Dr. Diane Marie Kushnar, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5264 Lee Rd, Maple Heights, OH 44137 Phone: 216-294-4440 | |
Dr. Angela M Bennett, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5264 Lee Rd, Maple Heights, OH 44137 Phone: 216-294-4440 Fax: 216-249-6032 |