| Jesse Wagner, MD | |
|
28 Crescent St, Middletown, CT 06457-3654 | |
| (860) 358-4720 | |
| (860) 358-6271 |
| Full Name | Jesse Wagner |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 36 Years |
| Location | 28 Crescent St, Middletown, Connecticut |
| 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 |
|---|---|---|---|
| 1528048428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036836 (Connecticut) | Primary |
| 208M00000X | Hospitalist | 036836 (Connecticut) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Middlesex Hospital | Middletown, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Middlesex Hospital | 5092611731 | 208 |
| Entity Name | Middlesex Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972563138 PECOS PAC ID: 5092611731 Enrollment ID: O20031216000592 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Wagner, MD 28 Crescent St, Middletown, CT 06457-3654 Ph: (860) 358-4720 | Jesse Wagner, MD 28 Crescent St, Middletown, CT 06457-3654 Ph: (860) 358-4720 |
Dr. Miklos C. Fogarasi, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 536 Saybrook Rd, Middletown, CT 06457 Phone: 860-358-2220 Fax: 860-358-2222 | |
George Agyapong, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1000 Silver Street, Middletown, CT 06457 Phone: 860-262-5128 | |
Lisa Ochola-tinker, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 28 Crescent St, Middletown, CT 06457 Phone: 860-358-5322 Fax: 860-358-6298 | |
Dr. Mohammed Al-damluji, MD, MPH Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 Saybrook Rd Ste A, Middletown, CT 06457 Phone: 860-636-2010 Fax: 860-636-2024 | |
Jude F Clancy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 Saybrook Rd, Middletown, CT 06457 Phone: 203-678-1050 Fax: 860-696-2045 | |
Dr. James Kar-kee Yue, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 760 Saybrook Rd, Middletown, CT 06457 Phone: 860-347-3304 Fax: 860-346-8245 | |
Mario Q Ricci Jr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 410 Saybrook Rd, Suite 201, Middletown, CT 06457 Phone: 860-347-4620 Fax: 860-346-9687 |