| Dr Deanna Marie Wagner, MD | |
|
39533 Woodward Ave # 155, Bloomfield Hills, MI 48304-5188 | |
| (833) 322-3376 | |
| (248) 607-6777 |
| Full Name | Dr Deanna Marie Wagner |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 16 Years |
| Location | 39533 Woodward Ave # 155, Bloomfield Hills, 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 | 210 |
| Dermatology And Cosmetic Center Pllc | 0244600807 | 9 |
| 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 | Dermatology & Cosmetic Center PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811605660 PECOS PAC ID: 0244600807 Enrollment ID: O20221223001158 |
| Entity Name | Dermatology & Cosmetic Center of Bloomfield Hills PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073479945 PECOS PAC ID: 0042791691 Enrollment ID: O20260223001443 |
| 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 39533 Woodward Ave # 155, Bloomfield Hills, MI 48304-5188 Ph: (833) 322-3376 |
Dr. Mark L Nelson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 60 W Big Beaver Rd, Ste 120, Bloomfield Hills, MI 48304 Phone: 248-540-9100 Fax: 248-540-1223 |
Fred Mark Novice, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4120 West Maple Road, Suite 206, Bloomfield Hills, MI 48301 Phone: 248-932-3376 Fax: 248-932-1046 |
Darius James Karimipour, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 43700 Woodward Ave, Suite 110, Bloomfield Hills, MI 48302 Phone: 248-332-0103 Fax: 248-332-1070 |
Dr. Linda Chung Honet, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 36800 Woodward Avenue, Suite 110, Bloomfield Hills, MI 48304 Phone: 248-792-7600 Fax: 248-792-7889 |
Taylor Shea Novice, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4120 W Maple Rd Ste 206, Bloomfield Hills, MI 48301 Phone: 248-932-3376 Fax: 248-932-1046 |
Dr. Lynn Marie Sikorski, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1900 S Telegraph Rd, Suite 100, Bloomfield Hills, MI 48302 Phone: 248-338-6400 Fax: 248-338-2920 |
Neldagae S Chisa, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 36700 Woodward Ave, Ste 203, Bloomfield Hills, MI 48304 Phone: 248-647-5750 Fax: 248-647-6008 |