| Brady Wayne Wagner, MD | |
|
2211 Ne 139th St, Vancouver, WA 98686-2742 | |
| (360) 487-1000 | |
| Not Available |
| Full Name | Brady Wayne Wagner |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2211 Ne 139th St, Vancouver, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649405671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD60292835 (Washington) | Primary |
| Entity Name | Kaiser Foundation Health Plan Of The Northwest |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
| Mailing Address | Practice Location Address |
|---|---|
| Brady Wayne Wagner, MD 12815 Sw Rita Dr, Beaverton, OR 97005-0720 Ph: (503) 806-0647 | Brady Wayne Wagner, MD 2211 Ne 139th St, Vancouver, WA 98686-2742 Ph: (360) 487-1000 |
Dr. Andrew Douglass Zechnich, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3400 Main St, Vancouver, WA 98663 Phone: 360-696-5232 Fax: 360-696-5228 | |
Jeff S Brent, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Ne 87th Ave, Vancouver, WA 98664 Phone: 360-882-2778 | |
Dr. Erin Meadows, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2211 Ne 139th St, Vancouver, WA 98686 Phone: 559-250-7564 | |
Megumi S Ketcham, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2211 Ne 139th St, Vancouver, WA 98686 Phone: 360-487-1000 | |
Dr. Jamie Mcginnity, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2211 Ne 139th St, Vancouver, WA 98686 Phone: 360-487-1000 | |
George T Lin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2211 Ne 139th St, Vancouver, WA 98686 Phone: 360-487-1400 | |
Daniel M Bissell, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2211 Ne 139th St, Vancouver, WA 98686 Phone: 360-487-1400 |