| Charles Allen Wagner Jr, DO | |
|
300 Hollywood Blvd, Orwigsburg, PA 17961-2426 | |
| (570) 366-1557 | |
| Not Available |
| Full Name | Charles Allen Wagner Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 32 Years |
| Location | 300 Hollywood Blvd, Orwigsburg, Pennsylvania |
| 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 |
|---|---|---|---|
| 1316904345 | NPI | - | NPPES |
| 0016970330010 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS008546L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Geisiner Home Health | Hazleton, PA | Home health agency |
| Geisinger Medical Center | Danville, PA | Hospital |
| Geisinger St. Luke's Hospital | Orwigsburg, PA | Hospital |
| Schuylkill Medical Center - South Jackson Street | Pottsville, PA | Hospital |
| St Luke's Miners Memorial Hospital | Coaldale, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Phoenix Rehabilitation And Health Services Inc | 3476464298 | 1824 |
| Geisinger Clinic | 5395657001 | 3078 |
| Entity Name | Geisinger Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
| Entity Name | Patient First Pennsylvania Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194039560 PECOS PAC ID: 5193900280 Enrollment ID: O20110505000465 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Allen Wagner Jr, DO 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Charles Allen Wagner Jr, DO 300 Hollywood Blvd, Orwigsburg, PA 17961-2426 Ph: (570) 366-1557 |
Saif A Bella, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1165 Centre Tpke, Orwigsburg, PA 17961 Phone: 570-968-1300 Fax: 570-968-1305 | |
Alexandra Conforti, Internal Medicine Medicare: Medicare Enrolled Practice Location: 300 Hollywood Blvd, Orwigsburg, PA 17961 Phone: 570-366-1557 Fax: 570-366-3981 | |
Dr. Liana Rodriguez, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1120 Centre Tpke, Orwigsburg, PA 17961 Phone: 570-366-2613 Fax: 570-366-2618 | |
Dr. Waqas Ahmed, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1165 Centre Tpke, Orwigsburg, PA 17961 Phone: 484-526-7800 Fax: 866-732-7151 | |
Crystal Maksimik, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1260 Centre Tpke Ste 107, Orwigsburg, PA 17961 Phone: 570-516-9647 Fax: 570-968-4084 | |
Dr. Abdul Rashid, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1770 Tanglewood Rd, Orwigsburg, PA 17961 Phone: 570-366-1121 Fax: 570-366-1392 |