| Dr Deanna Marie Wagner, MD | |
|
200 Health Park Dr, Owosso, MI 48867-1291 | |
| (989) 723-6666 | |
| Not Available |
| Full Name | Dr Deanna Marie Wagner |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 16 Years |
| Location | 200 Health Park Dr, Owosso, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104141654 | NPI | - | NPPES |
| 1104141654 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 4301102748 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Healthcare | Owosso, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Hospital | 8527976497 | 191 |
| Entity Name | Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235160532 PECOS PAC ID: 8527976497 Enrollment ID: O20040122000907 |
| Entity Name | Owosso Medical Group, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023105418 PECOS PAC ID: 5799755237 Enrollment ID: O20040730000458 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Deanna Marie Wagner, MD 200 Health Park Dr, Owosso, MI 48867-1291 Ph: (989) 723-6666 | Dr Deanna Marie Wagner, MD 200 Health Park Dr, Owosso, MI 48867-1291 Ph: (989) 723-6666 |
Dr. Justin John Marone, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1457 North M-52, Owosso, MI 48864 Phone: 989-725-8436 Fax: 989-723-8164 | |
Dr. Patrick Anthony Wegman I, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 802 W King St Ste H, Owosso, MI 48867 Phone: 989-723-8281 Fax: 989-723-6846 |