| John E Wagner, MD | |
| 516 Delaware St Se, Pwb Fifth Floor, Suite 5-100, Clinic 5b, Minneapolis, MN 55455-0356 | |
| (612) 626-2663 | |
| Not Available | 
| Full Name | John E Wagner | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics - Pediatric Hematology-oncology | 
| Location | 516 Delaware St Se, Minneapolis, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1205933595 | NPI | - | NPPES | 
| 090290 | Other | MN | FAIRVIEW | 
| 100981 | Other | MN | UCARE | 
| 837207100 | Medicaid | MN | |
| 1896241 | Medicaid | LA | |
| 2T332WA | Other | MN | BLUE CROSS BLUE SHIELD | 
| 1970657 | Medicaid | IA | |
| 2086719201 | Medicaid | KS | |
| 10387 | Medicaid | ND | |
| 1688300 | Medicaid | WI | |
| 3624608 | Other | MN | MEDICA - CHOICE | 
| 3674548 | Other | MN | MEDICA - PRIMARY | 
| HP22006 | Other | MN | HEALTHPARTNERS | 
| 1009344 | Other | MN | PREFERREDONE | 
| 768393 | Other | MN | ARAZ | 
| 7777470 | Medicaid | SD | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 34354 (Minnesota) | Secondary | 
| 2080P0207X | Pediatrics - Pediatric Hematology-oncology | 34354 (Minnesota) | Primary | 
| Entity Name | University Of Minnesota Physicians | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532 | 
| Entity Name | Fairview Health Services | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 | 
| Entity Name | Fairview Clinics | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 | 
| Entity Name | Healtheast Medical Research Institute | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 | 
| Entity Name | Healtheast St John's Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1447218482 PECOS PAC ID: 9234035742 Enrollment ID: O20031208000320 | 
| Entity Name | Fairview Bethesda Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1194787465 PECOS PAC ID: 7214833763 Enrollment ID: O20031208000483 | 
| Entity Name | Fairview Express Care | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 | 
| Entity Name | University Of Minnesota Health Clinics And Surgery Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1053795187 PECOS PAC ID: 9133423304 Enrollment ID: O20160209000524 | 
| Mailing Address | Practice Location Address | 
|---|---|
| John E Wagner, MD 420 Delaware St Se, Mmc 692,university Of Minnesota Physicians, Minneapolis, MN 55455-0341 Ph: (612) 626-2663 | John E Wagner, MD 516 Delaware St Se, Pwb Fifth Floor, Suite 5-100, Clinic 5b, Minneapolis, MN 55455-0356 Ph: (612) 626-2663 | 
| Dr. Kathleen F Sadak, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-273-6402 | |
| Dr. Aimee Kristen Sznewajs, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 612-343-2121 | |
| Anisha Rimal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 715 S 8th St, Minneapolis, MN 55404 Phone: 612-873-6963 | |
| Dr. Marie Elizabeth Steiner, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: University Of Minnesota Physicians, 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100, Minneapolis, MN 55455 Phone: 612-626-2916 | |
| Dr. Bruce Robert Blazar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 516 Delaware Street Se, University Of Mn Physicians, Pwb Fifth Floor, Clinic 5b, Minneapolis, MN 55455 Phone: 612-273-2800 | |
| Dr. Pablo Ureta Avendano, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: University Of Minnesota Physicians, 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100, Minneapolis, MN 55455 Phone: 612-626-2916 | |
| Heather Emily Stefanski, MD, PH.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Mmc 366, University Of Minnesota, Minneapolis, MN 55455 Phone: 612-626-2961 |