| Alexander Morse Wagner, MD | |
|
2 Medical Park Rd Ste 104, Columbia, SC 29203-6839 | |
| (803) 434-7832 | |
| Not Available |
| Full Name | Alexander Morse Wagner |
|---|---|
| Gender | Male |
| Speciality | Sports Medicine |
| Experience | 9 Years |
| Location | 2 Medical Park Rd Ste 104, Columbia, South Carolina |
| 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 |
|---|---|---|---|
| 1972955623 | NPI | - | NPPES |
| 397617 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080S0010X | Pediatrics - Sports Medicine | 39761 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prisma Health Richland Hospital | Columbia, SC | Hospital |
| Prisma Health Baptist | Columbia, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prisma Health Medical Group-midlands | 5991099707 | 919 |
| Entity Name | Prisma Health Tuomey |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548625593 PECOS PAC ID: 2163728528 Enrollment ID: O20160310001016 |
| Entity Name | Prisma Health Medical Group-midlands |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander Morse Wagner, MD Po Box 743904, Atlanta, GA 30374-3904 Ph: (803) 296-7033 | Alexander Morse Wagner, MD 2 Medical Park Rd Ste 104, Columbia, SC 29203-6839 Ph: (803) 434-7832 |
Argiri X Brook, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 14 Richland Medical Park Dr Ste 310, Columbia, SC 29203 Phone: 803-434-2300 Fax: 803-434-8686 | |
Dr. Beverley Deloris Wilson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Harbison Way Ste 221, Columbia, SC 29212 Phone: 803-724-7560 Fax: 833-320-1558 | |
Dr. William Joseph Westerkam, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 320 Harbison Blvd, Ste 290, Columbia, SC 29212 Phone: 803-749-0181 Fax: 803-749-3229 | |
Michael Cory Lever, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 14 Richland Medical Park Dr Ste 320, Columbia, SC 29203 Phone: 803-434-6771 Fax: 803-434-3955 | |
Dr. Bhavana R Yajnik, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1333 Taylor St, Suite 6a, Columbia, SC 29201 Phone: 803-254-2706 Fax: 803-254-1318 | |
Andrew Marshall Reittinger, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 14 Medical Park Ste 400, Children's Hospital Outpatient Center, Columbia, SC 29203 Phone: 803-434-6155 Fax: 803-434-6979 | |
Dr. Sarah Allen Barnes, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9 Richland Medical Park Dr Ste 300, Columbia, SC 29203 Phone: 803-434-6155 Fax: 803-434-3855 |