| Justin Wagner, | |
|
804 Service Rd, Room D100, East Lansing, MI 48824-7015 | |
| (517) 355-5053 | |
| Not Available |
| Full Name | Justin Wagner |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 17 Years |
| Location | 804 Service Rd, East Lansing, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356608004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 510101797 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Upmc Horizon | Greenville, PA | Hospital |
| Upmc Jameson | New castle, PA | Hospital |
| Upmc Passavant | Pittsburgh, PA | Hospital |
| Upmc St Margaret | Pittsburgh, PA | Hospital |
| Upmc Mercy | Pittsburgh, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Regional Health Services Inc | 4880593722 | 539 |
| University Of Pittsburgh Physicians | 8729990239 | 3868 |
| Entity Name | Regional Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174520654 PECOS PAC ID: 4880593722 Enrollment ID: O20040108000694 |
| Entity Name | University Of Pittsburgh Cancer Institute Cancer Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427025840 PECOS PAC ID: 6709771587 Enrollment ID: O20040219000811 |
| Entity Name | University Of Pittsburgh Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619935004 PECOS PAC ID: 8729990239 Enrollment ID: O20040308000883 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Wagner, 804 Service Rd, Room D100, East Lansing, MI 48824-7015 Ph: () - | Justin Wagner, 804 Service Rd, Room D100, East Lansing, MI 48824-7015 Ph: (517) 355-5053 |
Thomas Loi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 138 Service Rd Ste A204, East Lansing, MI 48824 Phone: 517-353-4920 Fax: 517-432-2243 | |
Robert Jarrett Steffy, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 846 Service Rd, East Lansing, MI 48824 Phone: 517-355-0120 | |
Dr. Nicholas Starkey, D.O. Radiology Medicare: Medicare Enrolled Practice Location: 804 Service Rd, D100, East Lansing, MI 48824 Phone: 517-353-5053 Fax: 517-432-4394 | |
Dr. Julia Hobson, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4660 S Hagadorn Rd Ste 410, East Lansing, MI 48823 Phone: 517-884-6123 Fax: 517-884-6236 | |
Susan Phelps, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 804 Service Rd Ste D100, East Lansing, MI 48824 Phone: 517-353-4941 Fax: 517-432-3145 | |
Suresh K Mukherji, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 804 Service Rd, D100, East Lansing, MI 48824 Phone: 517-353-5053 Fax: 517-432-4394 |