Mark Andrew Wagner, MD | |
2740 M St, Merced, CA 95340-2813 | |
(209) 342-2300 | |
(209) 524-4240 |
Full Name | Mark Andrew Wagner |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 39 Years |
Location | 2740 M St, Merced, California |
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 |
---|---|---|---|
1336130087 | NPI | - | NPPES |
00AX52590 | Medicaid | CA | |
020A52590 | Other | CA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 20A5259 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Medical Center | Merced, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Radadvantage A Professional Corporation | 2163597899 | 69 |
Entity Name | Radadvantage A Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20090917000455 |
Mailing Address | Practice Location Address |
---|---|
Mark Andrew Wagner, MD 4301 Northstar Way, Modesto, CA 95356-9262 Ph: (209) 342-2300 | Mark Andrew Wagner, MD 2740 M St, Merced, CA 95340-2813 Ph: (209) 342-2300 |
Ricardo Silos Centeno, MD Radiology Medicare: Medicare Enrolled Practice Location: 2740 M St, Merced, CA 95340 Phone: 209-342-2300 Fax: 209-524-4240 | |
Duane Curtis Richey, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3365 G Street, Suite 100, Merced, CA 95340 Phone: 209-384-4252 Fax: 209-384-4251 | |
Steven Kent Hansen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3365 G Street, Suite 100, Merced, CA 95340 Phone: 209-384-4252 Fax: 209-384-4251 | |
Dr. Alireza Mahmoudieh, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3303 M St, Merced, CA 95348 Phone: 209-726-3410 Fax: 209-726-3371 |