| Dr Timothy John Wagner, DO | |
|
101 Cooper Foster Park Rd, Amherst, OH 44001-1001 | |
| (440) 988-3705 | |
| (440) 988-7433 |
| Full Name | Dr Timothy John Wagner |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 31 Years |
| Location | 101 Cooper Foster Park Rd, Amherst, Ohio |
| 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 |
|---|---|---|---|
| 1205949690 | NPI | - | NPPES |
| 2036997 | Medicaid | OH | |
| 3025372 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34-00-6316 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Hospital Home Care Services, Inc | Warrensville hts, OH | Home health agency |
| University Hospitals - Elyria Medical Center | Elyria, OH | Hospital |
| Mercy Regional Medical Center | Lorain, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novacare Rehabilitation Of Ohio Inc | 0345159315 | 439 |
| University Primary Care Practices Inc | 3072417534 | 972 |
| Entity Name | University Primary Care Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy John Wagner, DO Po Box 636643, Cincinnati, OH 45263-6643 Ph: (440) 989-3801 | Dr Timothy John Wagner, DO 101 Cooper Foster Park Rd, Amherst, OH 44001-1001 Ph: (440) 988-3705 |
Jennifer A Calabrese, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Cooper Foster Park Rd, Amherst, OH 44001 Phone: 440-988-3705 Fax: 440-988-7433 | |
Dr. Christina Ann Zarate Kolp, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 254 Cleveland St, Suite 101, Amherst, OH 44001 Phone: 440-934-2650 Fax: 440-934-2651 | |
Ronald C Carissimi, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Cooper Foster Park Rd, Amherst, OH 44001 Phone: 440-988-3705 Fax: 440-988-7433 | |
Brittany Lewis, CNP Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 578 N Leavitt Rd, Amherst, OH 44001 Phone: 440-988-5234 Fax: 440-988-5269 | |
Gary Wayne Dinger, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 254 Cleveland Ave Ste 101, Amherst, OH 44001 Phone: 440-934-2650 Fax: 440-934-2651 | |
Ilona Elizabeth Jurek, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 578 N Leavitt Rd, Amherst, OH 44001 Phone: 440-988-5226 Fax: 440-988-5645 |