| Dr Gregory P Wagner, MD | |
|
500 Hospital Dr, Department Of Emergency Medicine, Warrenton, VA 20186 | |
| (540) 316-4900 | |
| Not Available |
| Full Name | Dr Gregory P Wagner |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 500 Hospital Dr, Warrenton, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750324802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A096347 (California) | Secondary |
| 207P00000X | Emergency Medicine | 0101246400 (Virginia) | Primary |
| Entity Name | Virginia Emergency Medicine Assoicates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700988664 PECOS PAC ID: 3870581986 Enrollment ID: O20040510001258 |
| Entity Name | Inova Health Care Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20080806000696 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gregory P Wagner, MD 10121 Carlington Valley Ct, Manassas, VA 20111-2544 Ph: (707) 241-5155 | Dr Gregory P Wagner, MD 500 Hospital Dr, Department Of Emergency Medicine, Warrenton, VA 20186 Ph: (540) 316-4900 |
Dr. Alexander-nicholas Desierto Sutingco, MD FACEP Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Hospital Dr, Warrenton, VA 20186 Phone: 540-349-0595 Fax: 540-349-0587 |
Dr. Joseph G Servideo, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Hospital Dr, Warrenton, VA 20186 Phone: 540-349-0595 |
Christine Snell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 Hospital Dr, Warrenton, VA 20186 Phone: 540-349-0595 Fax: 540-349-0587 |
Mr. Joseph Chu, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Hospital Dr, Warrenton, VA 20186 Phone: 540-349-0595 |
Anita M Maybach, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 381 Stuyvesant St Ste 1, Warrenton, VA 20186 Phone: 540-347-4410 |
Mr. Matthew P Rhames, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 381 Stuyvesant St Ste 1, Warrenton, VA 20186 Phone: 540-347-4410 |
Kristy S Reynolds, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Hospital Dr, Warrenton, VA 20186 Phone: 540-349-0595 |