| Andrew Standish Wagner, MD | |
|
4401 Campus Ridge Dr Ste Ll110, Midland, MI 48640-6126 | |
| (989) 837-9400 | |
| (989) 792-9860 |
| Full Name | Andrew Standish Wagner |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 30 Years |
| Location | 4401 Campus Ridge Dr Ste Ll110, Midland, Michigan |
| 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 |
|---|---|---|---|
| 1194703793 | NPI | - | NPPES |
| 10 4203718 | Medicaid | MI | |
| P105248 | Other | BLUE CARE NETWORK ID # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 4301076172 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Midmichigan Medical Center-midland | Midland, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mymichigan Medical Center Midland | 2264323633 | 414 |
| Entity Name | Womens Ob Gyn Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023096724 PECOS PAC ID: 1951297464 Enrollment ID: O20040223000917 |
| Entity Name | Mymichigan Medical Center Midland |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205889490 PECOS PAC ID: 2264323633 Enrollment ID: O20040324000137 |
| Entity Name | Mclaren Flint |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275807372 PECOS PAC ID: 8628975497 Enrollment ID: O20120620000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Standish Wagner, MD 5400 Mackinaw Rd, Suite 6100, Saginaw, MI 48604-9515 Ph: (989) 792-3100 | Andrew Standish Wagner, MD 4401 Campus Ridge Dr Ste Ll110, Midland, MI 48640-6126 Ph: (989) 837-9400 |
Mrs. Kelly Marie Hamilton, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4401 Campus Ridge Dr Ste Ll110, Midland, MI 48640 Phone: 989-837-9400 Fax: 989-837-9410 | |
Paula Reif Headbloom, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3306 Thornbrook Ct, Midland, MI 48640 Phone: 989-859-1233 Fax: 989-631-4960 | |
Mr. Mark Edward English Jr., MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4401 Campus Ridge Dr Ste Ll110, Midland, MI 48640 Phone: 989-837-9400 | |
Cheryl Dwyer, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4320 Campus Ridge Drive, Midland, MI 48640 Phone: 989-839-3170 Fax: 989-839-1840 | |
Dr. Elvira Mikhailovna O'brien, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4401 Campus Ridge Dr Ste Ll110, Midland, MI 48640 Phone: 989-837-9400 Fax: 989-837-9410 | |
Dr. David Allen Junge, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4009 Orchard Drive, Suite #3025, Midland, MI 48640 Phone: 989-631-7913 Fax: 989-631-5798 |