| Dr Johana Beatriz Castro Wagner, MD | |
|
11200 Seminole Blvd Ste 310, Largo, FL 33778-3239 | |
| (727) 397-8557 | |
| (727) 397-4459 |
| Full Name | Dr Johana Beatriz Castro Wagner |
|---|---|
| Gender | Female |
| Speciality | Allergy/immunology |
| Experience | 16 Years |
| Location | 11200 Seminole Blvd Ste 310, Largo, Florida |
| 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 |
|---|---|---|---|
| 1003175126 | NPI | - | NPPES |
| DQI18 | Other | FL | BCBS |
| 020623000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0201X | Pediatrics - Pediatric Allergy/immunology | ME124372 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Morton Plant Hospital | Clearwater, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Pediatric Associates, Llc | 2567375561 | 31 |
| Entity Name | Florida Pediatric Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053346718 PECOS PAC ID: 2567375561 Enrollment ID: O20031106000599 |
| Entity Name | University Medical Service Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992742324 PECOS PAC ID: 6800790221 Enrollment ID: O20031126000130 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Johana Beatriz Castro Wagner, MD Po Box 917770, Orlando, FL 32891-0001 Ph: (813) 821-8038 | Dr Johana Beatriz Castro Wagner, MD 11200 Seminole Blvd Ste 310, Largo, FL 33778-3239 Ph: (727) 397-8557 |
Marta J Berio, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12170 Seminole Blvd, Largo, FL 33778 Phone: 727-586-5355 Fax: 727-526-4346 | |
Dr. Steven M Moore, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13163 66th Street, Largo, FL 33773 Phone: 727-228-7000 Fax: 727-223-3614 | |
Carlos Jesus Cano, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1395 W Bay Dr, Largo, FL 33770 Phone: 727-584-6802 Fax: 727-586-6278 | |
Yahia Khanfar, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1395 W Bay Dr, Largo, FL 33770 Phone: 727-584-6802 Fax: 727-586-6278 | |
Dr. Laura Elizabeth Arline, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8787 Bryan Dairy Road, Suite 275, Largo, FL 33777 Phone: 727-394-5650 Fax: 813-635-7939 | |
Dr. Michelle Alaina Perkins, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12170 Seminole Blvd Ste 3, Largo, FL 33778 Phone: 727-586-5355 |