Bradford S Wagner, MD - Medicare Family Practice in South Portland, ME

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Bradford S Wagner, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in South Portland, Maine. He went to University Of Massachusetts Medical School and graduated in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Intermed Pa and his current practice location is 50 Foden Rd Ste 3, South Portland, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 874-1489.

Bradford S Wagner is licensed to practice in Maine (license number MD19486) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083848030.

Contact Information

Bradford S Wagner, MD
50 Foden Rd Ste 3,
South Portland, ME 04106-1718
(207) 874-1489
(207) 523-8590

Map and Direction




Physician's Profile

Full NameBradford S Wagner
GenderMale
SpecialityFamily Practice
Experience15 Years
Location50 Foden Rd Ste 3, South Portland, Maine
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Bradford S Wagner attended and graduated from University Of Massachusetts Medical School in 2009
  NPI Data:
  • NPI Number: 1083848030
  • Provider Enumeration Date: 05/06/2009
  • Last Update Date: 02/14/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1456595313
  • Enrollment ID: I20130913000640

Medical Identifiers

Medical identifiers for Bradford S Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083848030NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD19486 (Maine)Secondary
207QS0010XFamily Medicine - Sports Medicine MD19486 (Maine)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Intermed Pa5092605261149

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Bradford S Wagner allows following entities to bill medicare on his behalf.
Entity NameMainehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639194509
PECOS PAC ID: 7517860588
Enrollment ID: O20040206000472
Entity NameIntermed Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467422733
PECOS PAC ID: 5092605261
Enrollment ID: O20040319000548
Entity NameMainehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790265502
PECOS PAC ID: 7517860588
Enrollment ID: O20040701000166

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bradford S Wagner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bradford S Wagner, MD
100 Gannett Dr, Suite C,
South Portland, ME 04106-5900

Ph: (207) 828-0361		Bradford S Wagner, MD
50 Foden Rd Ste 3,
South Portland, ME 04106-1718

Ph: (207) 874-1489

Reviews and Comments


Family Medicine Doctors in South Portland, ME

Alexandra Roberts, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 Foden Rd Ste 203, South Portland, ME 04106
Phone: 207-879-1489    
Dr. Joseph Py, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 400 Western Ave, South Portland, ME 04106
Phone: 207-774-7111    
Anastasia R Norman, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 96 Ocean St Ste 4, South Portland, ME 04106
Phone: 207-303-8800    
Dr. John Edward Kazilionis, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 778 Main St, Suite 1, South Portland, ME 04106
Phone: 207-775-7758    Fax: 207-879-7758
Tara Kay Pelletier, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 100 Foden Road East, Suite 201, South Portland, ME 04106
Phone: 207-874-1489    Fax: 207-523-8590
Elizabeth R Bobzien, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 Foden Rd, East, Suite 203, South Portland, ME 04106
Phone: 207-874-1489    Fax: 207-523-8590

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.