Dr Frederick Wagner, MD | |
5921 Meridian Woods Drive, Glen Carbon, IL 62034-1545 | |
(618) 391-5883 | |
Not Available |
Full Name | Dr Frederick Wagner |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 27 Years |
Location | 5921 Meridian Woods Drive, Glen Carbon, 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 |
---|---|---|---|
1770589053 | NPI | - | NPPES |
1770589053 | Medicaid | IL | |
205374309 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 113352 (Missouri) | Secondary |
207L00000X | Anesthesiology | 036124604 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Anderson Hospital | Maryville, IL | Hospital |
Community Hospital Of Staunton | Staunton, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Millennium Anesthesiology Consultants, Llc | 9133250475 | 21 |
Entity Name | Millennium Anesthesiology Consultants, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710218094 PECOS PAC ID: 9133250475 Enrollment ID: O20100630000117 |
Mailing Address | Practice Location Address |
---|---|
Dr Frederick Wagner, MD 150 Bluff Ave, North Augusta, SC 29841-3862 Ph: (800) 394-4445 | Dr Frederick Wagner, MD 5921 Meridian Woods Drive, Glen Carbon, IL 62034-1545 Ph: (618) 391-5883 |
Dr. David A Reimers, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5921 Meridian Woods, Glen Carbon, IL 62034 Phone: 618-391-5883 | |
Charles G Bishop Jr., MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 12 Ginger Creek Parkway, Glen Carbon, IL 62034 Phone: 618-656-8200 |