| Wagoner Medical Group Pc | |
|
800 N Alpha St Grand Island NE 68803-4320 | |
| (308) 382-2010 | |
| (308) 382-9549 |
| Full Name | Wagoner Medical Group Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 800 N Alpha St, Grand Island, Nebraska |
| Authorized Official Name and Position | Jody M Hughes (OFFICE MANAGER) |
| Authorized Official Contact | 3083822010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wagoner Medical Group Pc 800 N Alpha St Grand Island NE 68803-4320 Ph: (308) 382-2010 | Wagoner Medical Group Pc 800 N Alpha St Grand Island NE 68803-4320 Ph: (308) 382-2010 |
| NPI Number | 1013964162 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 02/15/2008 |
| Medicare PECOS PAC ID | 0941398515 |
|---|---|
| Medicare Enrollment ID | O20071115000064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013964162 | NPI | - | NPPES |
| CD3724 | Other | NE | MEDICARE GROUP RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Nebraska) | Primary |
| 207RN0300X | Internal Medicine - Nephrology | (Nebraska) | Secondary |
| Provider Name | John A Wagoner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114974284 PECOS PAC ID: 5890883268 Enrollment ID: I20071119000288 |
| Provider Name | Jane A Mcdonald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760421283 PECOS PAC ID: 7719082551 Enrollment ID: I20071119000565 |
| Provider Name | Robert Z Fialkow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396742268 PECOS PAC ID: 2567374259 Enrollment ID: I20180601002164 |
| Provider Name | Swathi Lavudi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1114367547 PECOS PAC ID: 9931496106 Enrollment ID: I20180710002446 |
Employers' Healthcare Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 810 N Diers Ave, Grand Island, NE 68803 Phone: 308-381-2224 Fax: 308-398-1477 | |
Internal Medical Associates Of Grand Island, P. C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 729 N Custer Ave, Grand Island, NE 68803 Phone: 308-382-9266 Fax: 308-382-5290 | |
Vibrance Family Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 416 N Diers Ave, Grand Island, NE 68803 Phone: 308-281-2544 | |
Redzone Chiropractic Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 523 W 3rd St, Grand Island, NE 68801 Phone: 308-675-2742 Fax: 308-675-2744 | |
Mccann Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2820 E Us Highway 34, Grand Island, NE 68801 Phone: 308-227-2182 | |
Heartland Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2116 W Faidley Ave Ste 2100, Grand Island, NE 68803 Phone: 308-382-4297 Fax: 308-382-4376 |