| Elliott Jay Wagner, MD | |
|
8750 Wilshire Blvd Ste 100, Beverly Hills, CA 90211-2708 | |
| (310) 689-3100 | |
| Not Available |
| Full Name | Elliott Jay Wagner |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 47 Years |
| Location | 8750 Wilshire Blvd Ste 100, Beverly Hills, California |
| 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 |
|---|---|---|---|
| 1558312579 | NPI | - | NPPES |
| 00G496980 | Other | CA | BLUE SHIELD |
| 02917751 | Medicaid | NY | |
| 00G496980 | Medicaid | CA |
| Facility Name | Location | Facility Type |
|---|---|---|
| Capital Health Medical Center - Hopewell | Pennington, NJ | Hospital |
| El Centro Regional Medical Center | El centro, CA | Hospital |
| Lower Bucks Hospital | Bristol, PA | Hospital |
| St Francis Hospital- Emory Healthcare | Columbus, GA | Hospital |
| Lake Granbury Medical Center | Granbury, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Radiology And Interventional Associates Inc | 2163816448 | 77 |
| Vesta Telemedicine Solutions Pc | 2365850948 | 34 |
| Beverly Radiology Medical Group Iii | 3476466376 | 307 |
| Community Mobile Ultrasound Llc | 4183761893 | 10 |
| Kan-di-ki Llc | 5991737140 | 30 |
| Suburban Medical Group Llc | 6204145642 | 29 |
| Desert Advanced Imaging Medical Center | 6406749613 | 157 |
| Radiology Associates Of Murray Pllc | 6608818828 | 8 |
| Reono Bertagnolli A Medical Group | 6800709783 | 42 |
| Vesta Telemedicine Solutions Pllc | 9638585706 | 40 |
| Community Mobile Ultrasound Llc | 4183761893 | 10 |
| Community Mobile Diagnostics Llc | 4789610643 | 7 |
| Reono Bertagnolli A Medical Group | 6800709783 | 42 |
| Kan-di-ki Llc | 5991737140 | 30 |
| Suburban Medical Group Llc | 6204145642 | 29 |
| Miguel Oneto, Md, Pa | 3476677600 | 7 |
| Kan-di-ki Llc | 5991737140 | 30 |
| Memorial Mri And Diagnostic Llc | 6507859568 | 56 |
| Vesta Telemedicine Solutions Pllc | 9638585706 | 40 |
| Reono Bertagnolli A Medical Group | 6800709783 | 42 |
| Community Mobile Diagnostics Llc | 4789610643 | 7 |
| Sms Do Pa | 0143207530 | 24 |
| Franklin County Board Of County Commissioners | 3274541115 | 17 |
| Tallahassee Memorial Healthcare Inc | 6103724778 | 436 |
| Reono Bertagnolli A Medical Group | 6800709783 | 42 |
| Advanced Radiology And Interventional Associates Inc | 2163816448 | 77 |
| Beverly Radiology Medical Group Iii | 3476466376 | 307 |
| Community Mobile Diagnostics Llc | 4789610643 | 7 |
| Desert Advanced Imaging Medical Center | 6406749613 | 157 |
| Kan-di-ki Llc | 5991737140 | 30 |
| Reono Bertagnolli A Medical Group | 6800709783 | 42 |
| Community Mobile Diagnostics Llc | 4789610643 | 7 |
| Reono Bertagnolli A Medical Group | 6800709783 | 42 |
| Capital Health Multispecialty Group | 1850689894 | 261 |
| Community Mobile Diagnostics Llc | 4789610643 | 7 |
| Kan-di-ki Llc | 5991737140 | 30 |
| Entity Name | Ramapo Imaging Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932150935 PECOS PAC ID: 6901705060 Enrollment ID: O20040107000757 |
| Entity Name | Zwanger & Pesiri Radiology Group Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477523413 PECOS PAC ID: 5092700799 Enrollment ID: O20040420000622 |
| Entity Name | Millennium Medical Imaging Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235114182 PECOS PAC ID: 5799776910 Enrollment ID: O20040518001125 |
| Entity Name | Symphony Diagnostic Services No 1 Llc |
|---|---|
| Entity Type | Part B Supplier - Portable X-ray Supplier |
| Entity Identifiers | NPI Number: 1700865094 PECOS PAC ID: 5193638765 Enrollment ID: O20110208000573 |
| Entity Name | Radadvantage A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20140820001550 |
| Entity Name | Kan-di-ki Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750364345 PECOS PAC ID: 5991737140 Enrollment ID: O20150114001629 |
| Entity Name | Desert Advanced Imaging Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568416147 PECOS PAC ID: 6406749613 Enrollment ID: O20150916001094 |
| Entity Name | Renaissance Imaging Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487608931 PECOS PAC ID: 7315841756 Enrollment ID: O20151207001697 |
| Entity Name | Beverly Radiology Medical Group Iii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962457812 PECOS PAC ID: 3476466376 Enrollment ID: O20160105002652 |
| Entity Name | Simonmed Imaging Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477830818 PECOS PAC ID: 6608036108 Enrollment ID: O20160913001004 |
| Entity Name | Community Mobile Diagnostics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023104007 PECOS PAC ID: 4789610643 Enrollment ID: O20160928000710 |
| Entity Name | Community Mobile Ultrasound Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760620959 PECOS PAC ID: 4183761893 Enrollment ID: O20161018000845 |
| Entity Name | Stockton Diagnostic Imaging |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356538201 PECOS PAC ID: 0749386894 Enrollment ID: O20171010000443 |
| Entity Name | Reono Bertagnolli A Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134424005 PECOS PAC ID: 6800709783 Enrollment ID: O20180502002269 |
| Entity Name | Smi Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972004489 PECOS PAC ID: 3476696220 Enrollment ID: O20180913002243 |
| Entity Name | Garden State Healthcare Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700014545 PECOS PAC ID: 8426190687 Enrollment ID: O20190103000021 |
| Entity Name | Howard John Simon Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932768934 PECOS PAC ID: 1658602263 Enrollment ID: O20191014000834 |
| Entity Name | Health Diagnostics Of California A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104321959 PECOS PAC ID: 4284621525 Enrollment ID: O20200124000081 |
| Entity Name | Fresno Imaging Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659456499 PECOS PAC ID: 2466553128 Enrollment ID: O20200529000297 |
| Entity Name | Singleton Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538107875 PECOS PAC ID: 6305731118 Enrollment ID: O20200623000118 |
| Entity Name | Central Valley Community Medical Imaging |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376637264 PECOS PAC ID: 5799679874 Enrollment ID: O20200625000237 |
| Entity Name | Radiologic Associates Of Northwest Arizona Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316483720 PECOS PAC ID: 1355628215 Enrollment ID: O20200728003063 |
| Entity Name | Bridgeport Radiological Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962488981 PECOS PAC ID: 0941291082 Enrollment ID: O20200804002541 |
| Entity Name | Advanced Radiology Solutions |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467863068 PECOS PAC ID: 5597985507 Enrollment ID: O20210311000384 |
| Entity Name | Howard Simon Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659930998 PECOS PAC ID: 7214369966 Enrollment ID: O20210318001764 |
| Entity Name | Vesta Telemedicine Solutions Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952902116 PECOS PAC ID: 9638585706 Enrollment ID: O20210430000801 |
| Entity Name | Arizona Diagnostic Radiology Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336757699 PECOS PAC ID: 1658796859 Enrollment ID: O20211028002494 |
| Entity Name | Suburban Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710355029 PECOS PAC ID: 6204145642 Enrollment ID: O20220629000292 |
| Entity Name | Advanced Radiology And Interventional Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669123626 PECOS PAC ID: 2163816448 Enrollment ID: O20220809001451 |
| Entity Name | Norton Clark Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083098651 PECOS PAC ID: 0840504114 Enrollment ID: O20221017000086 |
| Entity Name | Rfc Radiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437478302 PECOS PAC ID: 8022141894 Enrollment ID: O20221229000264 |
| Entity Name | Vesta Telemedicine Solutions Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710571153 PECOS PAC ID: 2365850948 Enrollment ID: O20230517001373 |
| Entity Name | Radiology Associates Of Albuquerque Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881666998 PECOS PAC ID: 2860304482 Enrollment ID: O20230612002891 |
| Entity Name | Lansing Radiology Associates P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669425658 PECOS PAC ID: 4486552148 Enrollment ID: O20230707000136 |
| Entity Name | Ft Jesse Imaging Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245287143 PECOS PAC ID: 1951379106 Enrollment ID: O20230731002871 |
| Entity Name | Kent Diagnostic Radiology Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417044298 PECOS PAC ID: 3971591371 Enrollment ID: O20230929002016 |
| Entity Name | Pinnacle Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457125288 PECOS PAC ID: 3870939614 Enrollment ID: O20240404004044 |
| Entity Name | Radiology Associates Of Murray Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497789523 PECOS PAC ID: 6608818828 Enrollment ID: O20241211000490 |
| Entity Name | Innovative Radiology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568400810 PECOS PAC ID: 2668432782 Enrollment ID: O20241217000287 |
| Mailing Address | Practice Location Address |
|---|---|
| Elliott Jay Wagner, MD 200 East 66th St, C904, New York, NY 10065-9175 Ph: (888) 886-5238 | Elliott Jay Wagner, MD 8750 Wilshire Blvd Ste 100, Beverly Hills, CA 90211-2708 Ph: (310) 689-3100 |
Richard Furman Borst, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 8900 Wilshire Blvd Ste 100, Beverly Hills, CA 90211 Phone: 310-432-8999 Fax: 310-432-8995 | |
Christopher Lin, DO Radiology Medicare: May Accept Medicare Assignments Practice Location: 9675 Brighton Way Ste 100, Beverly Hills, CA 90210 Phone: 310-205-7310 | |
Dr. Mitchell Alan Berner, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 155 N San Vicente Blvd, Beverly Hills, CA 90211 Phone: 323-433-7800 Fax: 323-433-7801 | |
Anna Maria Weissmann, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8670 Wilshire Blvd Ste 101, Beverly Hills, CA 90211 Phone: 310-358-2100 | |
Hollie Gallagher-zate, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 8750 Wilshire Blvd Ste 100, Beverly Hills, CA 90211 Phone: 310-689-3100 | |
Dr. Andrew Bennett Iii, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 8750 Wilshire Blvd Ste 100, Beverly Hills, CA 90211 Phone: 310-689-3100 | |
Gregory Bender, Radiology Medicare: Accepting Medicare Assignments Practice Location: 8750 Wilshire Blvd Ste 200, Beverly Hills, CA 90211 Phone: 310-385-7747 |