Dr Charles Ay Wagner, RN, DPT | |
69 Railroad Ave Ste A4, Hilo, HI 96720-7509 | |
(808) 339-7861 | |
Not Available |
Full Name | Dr Charles Ay Wagner |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 18 Years |
Location | 69 Railroad Ave Ste A4, Hilo, Hawaii |
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 |
---|---|---|---|
1134326549 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT 2674 (Hawaii) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Core Wellness Hawaii Llc | 6406126762 | 4 |
Provider Name | Core Wellness Hawaii Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1003348400 PECOS PAC ID: 6406126762 Enrollment ID: O20170719000565 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles Ay Wagner, RN, DPT 25-3420 Pakelekia St, Hilo, HI 96720-1318 Ph: (808) 989-2487 | Dr Charles Ay Wagner, RN, DPT 69 Railroad Ave Ste A4, Hilo, HI 96720-7509 Ph: (808) 339-7861 |
Mathew Sherred Byers, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 333 Kilauea Ave, Hilo, HI 96720 Phone: 808-961-3505 Fax: 808-961-6505 | |
Mr. Sidney K. Kiriu, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1292 Waianuenue Ave, Hilo, HI 96720 Phone: 808-934-4000 | |
Sean Aaron Tillery, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 740 Kilauea Ave, Hilo, HI 96720 Phone: 808-935-5255 | |
Mr. George Grant Davis, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1333 Waianuenue Ave, Hilo, HI 96720 Phone: 808-961-6644 Fax: 808-934-2359 | |
Dr. Samuel Amsbaugh, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 740 Kilauea Ave # 4234, Hilo, HI 96720 Phone: 808-935-5255 | |
Ke Ola Kino Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 2064 Kilauea Ave, Hilo, HI 96720 Phone: 808-238-4199 | |
Mr. Marshall Hugh Orr Jr., MS, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 639 Kinoole St, Hilo, HI 96720 Phone: 808-443-4464 |