| James S Wagner, MD | |
|
1300 Anne St Nw, Bemidji, MN 56601-5103 | |
| (218) 333-5000 | |
| (218) 333-5360 |
| Full Name | James S Wagner |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 42 Years |
| Location | 1300 Anne St Nw, Bemidji, 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 |
|---|---|---|---|
| 1942234851 | NPI | - | NPPES |
| 1700718 | Other | ND | MEDICA # |
| 198200100 | Medicaid | MN | |
| DA9011015601 | Other | ND | PREFERRED ONE # |
| 142077 | Other | ND | UCARE # |
| 676663 | Other | ND | AMERICA'S PPO/ARAZ # |
| HP25793 | Other | ND | HEALTHPARTNERS # |
| 1700497 | Other | ND | MEDICA # |
| ND200073 | Other | ND | LHS # |
| 28133WA | Other | ND | MNBS # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 30763 (Minnesota) | Primary |
| 208600000X | Surgery | 5910 (North Dakota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mt Edgecumbe Hospital | Sitka, AK | Hospital |
| Chi St Alexius Health | Bismarck, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Alexius Medical Center | 8426960865 | 225 |
| Southeast Alaska Regional Health Consortium | 1456265362 | 298 |
| Entity Name | St Alexius Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205868429 PECOS PAC ID: 8426960865 Enrollment ID: O20031104000146 |
| Entity Name | Mckenzie County Healthcare Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063420495 PECOS PAC ID: 5890768006 Enrollment ID: O20040817000016 |
| Mailing Address | Practice Location Address |
|---|---|
| James S Wagner, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (218) 333-5000 | James S Wagner, MD 1300 Anne St Nw, Bemidji, MN 56601-5103 Ph: (218) 333-5000 |
Dr. Benjamin Patrick Roy, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1233 34th St Nw, Bemidji, MN 56601 Phone: 218-333-5000 Fax: 218-333-5360 | |
Dr. Matthew John Nielsen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1300 Anne St Nw, Bemidji, MN 56601 Phone: 218-333-5000 Fax: 218-333-5360 | |
Mark S Claussen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1233 34th St Nw, Bemidji, MN 56601 Phone: 218-333-5283 Fax: 218-759-5279 | |
David Faugno-fusci, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1233 34th St Nw, Bemidji, MN 56601 Phone: 218-333-5000 | |
Dr. Kashif Ahmed Zuberi, MBBCH FACS MRCSI Surgery Medicare: Accepting Medicare Assignments Practice Location: 1233 34th St Nw, Bemidji, MN 56601 Phone: 218-333-5283 | |
Allan Campbell, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1233 34th St Nw, Bemidji, MN 56601 Phone: 218-333-5283 | |
Alexandra Beatriz Gonzalez Juarrero, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1233 34th St Nw, Bemidji, MN 56601 Phone: 218-333-5283 |