| Dr Shaun R Wagner, DO | |
|
101 Manning Dr, Department Of Radiology, Chapel Hill, NC 27514-4220 | |
| (919) 966-2992 | |
| (919) 962-9625 |
| Full Name | Dr Shaun R Wagner |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 15 Years |
| Location | 101 Manning Dr, Chapel Hill, North Carolina |
| 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 |
|---|---|---|---|
| 1851658520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 8942 (Oklahoma) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 2015-01726 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Integris Bass Baptist Health Center | Enid, OK | Hospital |
| Cherokee Nation W W Hastings Indian Hospital | Tahlequah, OK | Hospital |
| Northeastern Health System | Tahlequah, OK | Hospital |
| Alliancehealth Midwest | Midwest city, OK | Hospital |
| Alliancehealth Woodward | Woodward, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Diagnostic Imaging Associates Inc | 8820083645 | 70 |
| Choctaw Nation Of Oklahoma | 1759294838 | 254 |
| Creek Nation Hospital And Clinics | 5698786226 | 322 |
| Cherokee Nation | 5799698742 | 369 |
| Lawton Indian Hospital | 6406800234 | 107 |
| Creek Nation Hospital And Clinics | 5698786226 | 322 |
| Entity Name | Diagnostic Imaging Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427049956 PECOS PAC ID: 8820083645 Enrollment ID: O20240122000253 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shaun R Wagner, DO 101 Manning Dr, Department Of Radiology, Chapel Hill, NC 27514-4220 Ph: (919) 966-2992 | Dr Shaun R Wagner, DO 101 Manning Dr, Department Of Radiology, Chapel Hill, NC 27514-4220 Ph: (919) 966-2992 |
Dr. Romuald Ferre, Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Manning Dr, Chapel Hill, NC 27514 Phone: 984-974-1884 | |
Joseph Kt Lee, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 101 Manning Dr, Chapel Hill, NC 27599 Phone: 919-966-4131 | |
Dr. Dorothy Amy Sippo, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Manning Dr, Chapel Hill, NC 27514 Phone: 984-974-1884 | |
Dr. Maureen Pearl Kohi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Manning Dr, Chapel Hill, NC 27514 Phone: 984-974-1000 | |
Matthew Mauro, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Manning Dr, Chapel Hill, NC 27599 Phone: 919-966-8596 Fax: 919-843-5515 | |
Dr. Ron Aaron Perets, MD Radiology Medicare: Medicare Enrolled Practice Location: 101 Manning Drive, 4061 Burnett-womack Bldg, Chapel Hill, NC 27514 Phone: 919-966-4653 | |
Kenneth Lury, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 101 Manning Dr, Chapel Hill, NC 27599 Phone: 919-966-8596 Fax: 919-843-5515 |