| Dr Karl F Wagenhauser, MD | |
|
2602 Saint Michael Dr Ste 204, Texarkana, TX 75503-2378 | |
| (903) 614-5090 | |
| (903) 614-5150 |
| Full Name | Dr Karl F Wagenhauser |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 31 Years |
| Location | 2602 Saint Michael Dr Ste 204, Texarkana, Texas |
| 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 |
|---|---|---|---|
| 1699739334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | E-1780 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saline Memorial Hospital | Benton, AR | Hospital |
| Ouachita County Medical Center | Camden, AR | Hospital |
| Johnson Regional Medical Center | Clarksville, AR | Hospital |
| Wadley Regional Medical Center At Hope | Hope, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeastern Emergency Physicians Llc | 2466364997 | 627 |
| East Arkansas Emergency Physicians Pllc | 5698909067 | 19 |
| Pafford Physician Services Em, Pllc | 9638513005 | 3 |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050418001201 |
| Entity Name | Emergency Staffing Solutions Region Iii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689967895 PECOS PAC ID: 3375721707 Enrollment ID: O20110706000473 |
| Entity Name | East Arkansas Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932442985 PECOS PAC ID: 5698909067 Enrollment ID: O20131018000502 |
| Entity Name | Chi St Vincent Hospital Hot Springs |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1790723021 PECOS PAC ID: 1153231758 Enrollment ID: O20141120001717 |
| Entity Name | Lakeside Walk-in Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205345154 PECOS PAC ID: 3072870526 Enrollment ID: O20171208000570 |
| Entity Name | Shiloh Emergency Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205458189 PECOS PAC ID: 6901228154 Enrollment ID: O20200617002064 |
| Entity Name | Pafford Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164027231 PECOS PAC ID: 3476960642 Enrollment ID: O20210406001160 |
| Entity Name | Hcc Of Magnolia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831865872 PECOS PAC ID: 3779980750 Enrollment ID: O20210917000064 |
| Entity Name | Ies Arkansas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598488090 PECOS PAC ID: 6204207665 Enrollment ID: O20230123000050 |
| Entity Name | Pafford Physician Services Em, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689445330 PECOS PAC ID: 9638513005 Enrollment ID: O20240214001537 |
| Entity Name | Pafford Physician Services Hm Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548031297 PECOS PAC ID: 0042655938 Enrollment ID: O20240301001066 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Karl F Wagenhauser, MD 2602 Saint Michael Dr Ste 204, Texarkana, TX 75503-2378 Ph: (903) 614-5090 | Dr Karl F Wagenhauser, MD 2602 Saint Michael Dr Ste 204, Texarkana, TX 75503-2378 Ph: (903) 614-5090 |
Osei Kwame Asamoah, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2602 Saint Michael Dr, Texarkana, TX 75503 Phone: 903-999-9999 | |
Dr. Mark Mccrary, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Pine St, Texarkana, TX 75501 Phone: 903-798-8868 Fax: 903-798-8879 | |
Alex Wade Ayers, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Saint Michael Dr, Texarkana, TX 75503 Phone: 903-614-1000 | |
Charles Niziol, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Pine St, Texarkana, TX 75501 Phone: 903-798-8887 | |
Dr. Malcolm Machauer, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 Pine St, Texarkana, TX 75501 Phone: 903-798-8880 Fax: 903-798-8879 | |
Dewitt Charles Fortenberry, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2602 Saint Michael Dr, Suite 302, Texarkana, TX 75503 Phone: 903-336-2391 | |
Dr. John J Harris, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1724 Galleria Oaks Dr, Texarkana, TX 75503 Phone: 903-306-0838 Fax: 903-306-1286 |