| Dr Stephen R Wagner, | |
|
333 Smith Ave N, Saint Paul, MN 55102-2344 | |
| (651) 735-0501 | |
| (651) 735-1870 |
| Full Name | Dr Stephen R Wagner |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 35 Years |
| Location | 333 Smith Ave N, Saint Paul, Minnesota |
| 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 |
|---|---|---|---|
| 1063524387 | NPI | - | NPPES |
| 386213500 | Medicaid | MN |
| Facility Name | Location | Facility Type |
|---|---|---|
| Allina United Hospital | Saint paul, MN | Hospital |
| Healtheast Woodwinds Hospital | Woodbury, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nura Pllc | 2769378942 | 32 |
| Metropolitan Anesthesia Network Llp | 5698689123 | 497 |
| Entity Name | Metropolitan Anesthesia Network Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558314427 PECOS PAC ID: 5698689123 Enrollment ID: O20031118000579 |
| Entity Name | Nura Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750316014 PECOS PAC ID: 2769378942 Enrollment ID: O20040322000281 |
| Entity Name | University Anesthesia Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699711143 PECOS PAC ID: 7315986064 Enrollment ID: O20050502000881 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephen R Wagner, 8681 Eagle Point Blvd, Lake Elmo, MN 55042-8628 Ph: (651) 251-8021 | Dr Stephen R Wagner, 333 Smith Ave N, Saint Paul, MN 55102-2344 Ph: (651) 735-0501 |
Nancy K Thorvilson, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-5560 | |
Thomas Laberge, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-5560 | |
Dr. Mark T Destache, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870 | |
Robert Gorman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-5560 | |
Dr. Reid A Martinson, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870 | |
Deanna Siliciano, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-5560 | |
Sena Kihtir, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 255 Smith Ave N Ste 100, Saint Paul, MN 55102 Phone: 651-241-7246 |