| Dr John H Wagner Iii, MD, CMD | |
|
401 Arnold St Ne, Cullman, AL 35055-1968 | |
| (256) 739-9593 | |
| (256) 739-2984 |
| Full Name | Dr John H Wagner Iii |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 401 Arnold St Ne, Cullman, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487634085 | NPI | - | NPPES |
| 051551301 | Other | AL | BC/BS OF ALABAMA |
| 009935241 | Medicaid | AL | |
| 010066311 | Other | AL | METRA RAILROAD MEDICARE |
| 51027867 | Other | AL | BC/BS OF ALABAMA |
| 000027867 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 8613 (Alabama) | Primary |
| Entity Name | Eastern Hospital Medicine Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104859123 PECOS PAC ID: 8325044597 Enrollment ID: O20061011000241 |
| Entity Name | Curana Health Of Alabama Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144450347 PECOS PAC ID: 2264681220 Enrollment ID: O20121008000018 |
| Entity Name | Russellville Hospital Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780232314 PECOS PAC ID: 3476878489 Enrollment ID: O20191018002761 |
| Entity Name | Dermaccel |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992582241 PECOS PAC ID: 7618323130 Enrollment ID: O20231019001715 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John H Wagner Iii, MD, CMD Po Box 339, 401 Arnold Street Ne, Cullman, AL 35056-0339 Ph: (256) 739-9593 | Dr John H Wagner Iii, MD, CMD 401 Arnold St Ne, Cullman, AL 35055-1968 Ph: (256) 739-9593 |
Van Russell Wadlington, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 501 Clark St Ne, Cullman, AL 35055 Phone: 256-739-9898 Fax: 256-739-9556 |