| Dr Robert Harrison Wagner, MD | |
|
8501 Arlington Blvd Ste 410, Fairfax, VA 22031 | |
| (703) 738-4331 | |
| (703) 642-1876 |
| Full Name | Dr Robert Harrison Wagner |
|---|---|
| Gender | Male |
| Speciality | Interventional Pain Management |
| Experience | 30 Years |
| Location | 8501 Arlington Blvd Ste 410, Fairfax, Virginia |
| 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 |
|---|---|---|---|
| 1457329997 | NPI | - | NPPES |
| 6801765 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 0101054689 (Virginia) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 0101054689 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Inova Alexandria Hospital | Alexandria, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physical Medicine Associates, Ltd | 4981688835 | 66 |
| Entity Name | Physical Medicine Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003884560 PECOS PAC ID: 4981688835 Enrollment ID: O20040617000167 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Harrison Wagner, MD 11350 Mccormick Road, Executive Plaza 1, Suite 501, Hunt Valley, MD 21031 Ph: (410) 329-1071 | Dr Robert Harrison Wagner, MD 8501 Arlington Blvd Ste 410, Fairfax, VA 22031 Ph: (703) 738-4331 |
David Kim, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 10721 Main St Ste 304, Fairfax, VA 22030 Phone: 703-349-4205 Fax: 703-349-4205 | |
Dr. Su Min Ko, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 11166 Fairfax Blvd, Suite 105, Fairfax, VA 22030 Phone: 703-277-3360 Fax: 703-277-3370 | |
Dr. Loren L. Friedman, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 8503 Arlington Blvd Ste 400, Fairfax, VA 22031 Phone: 703-280-5390 Fax: 703-280-9596 |