| Gisela L Wagner, MD | |
|
1223 Gateway Dr, Suite 1e, Melbourne, FL 32901-2607 | |
| (321) 312-3312 | |
| (321) 984-8483 |
| Full Name | Gisela L Wagner |
|---|---|
| Gender | Female |
| Speciality | Otolaryngology |
| Experience | 25 Years |
| Location | 1223 Gateway Dr, Melbourne, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316916448 | NPI | - | NPPES |
| 94667 | Other | FL | BCBS |
| 278670200 | Medicaid | FL | |
| P01164130 | Other | FL | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | ME98773 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holmes Regional Medical Center | Melbourne, FL | Hospital |
| Palm Bay Hospital | Palm bay, FL | Hospital |
| Viera Hospital | Melbourne, FL | Hospital |
| Cape Canaveral Hospital | Cocoa beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Health First Medical Group Llc | 7416100672 | 596 |
| Entity Name | Health First Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750626495 PECOS PAC ID: 7416100672 Enrollment ID: O20130122000135 |
| Mailing Address | Practice Location Address |
|---|---|
| Gisela L Wagner, MD 3300 S Fiske Blvd, Rockledge, FL 32955-4306 Ph: () - | Gisela L Wagner, MD 1223 Gateway Dr, Suite 1e, Melbourne, FL 32901-2607 Ph: (321) 312-3312 |
Mr. Dean Richard Lindstrom Iii, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1314 Pine St, Melbourne, FL 32901 Phone: 321-802-6697 Fax: 321-802-3158 | |
James T Go, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2290 W Eau Gallie Blvd, Suite 110, Melbourne, FL 32935 Phone: 321-421-7555 Fax: 321-421-7553 | |
Timothy O'hare, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1344 S Apollo Blvd, Ste 301, Melbourne, FL 32901 Phone: 321-676-2353 Fax: 321-951-9267 | |
Mr. James Peter Lacey, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1223 Gateway Dr Ste 1e, Melbourne, FL 32901 Phone: 321-729-8079 Fax: 321-984-8483 | |
Daniel P Sullivan, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 930 S Harbor City Blvd Ste 200, Melbourne, FL 32901 Phone: 321-674-9094 Fax: 321-674-9289 | |
Steven Ho, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1344 S Apollo Blvd, Ste 301, Melbourne, FL 32901 Phone: 321-676-2353 Fax: 321-951-9267 |