| Jordan Wagner, DO | |
|
1493 Cambridge St, Cambridge, MA 02139-1047 | |
| (617) 665-1435 | |
| Not Available |
| Full Name | Jordan Wagner |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 16 Years |
| Location | 1493 Cambridge St, Cambridge, Massachusetts |
| 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 |
|---|---|---|---|
| 1558590679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 249402 (Massachusetts) | Secondary |
| 207P00000X | Emergency Medicine | 20A14140 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sharp Chula Vista Medical Center | Chula vista, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America - California | 6103739131 | 1093 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
| Entity Name | Montclair Emergency Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316044696 PECOS PAC ID: 8022019702 Enrollment ID: O20070123000593 |
| Entity Name | Alvarado Emergency Medical Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285811992 PECOS PAC ID: 0042396251 Enrollment ID: O20080328000280 |
| Entity Name | Palomar Emergency Physicians, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124698139 PECOS PAC ID: 9830593730 Enrollment ID: O20210813000628 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Wagner, DO 1493 Cambridge St, Cambridge, MA 02139-1047 Ph: (617) 665-1435 | Jordan Wagner, DO 1493 Cambridge St, Cambridge, MA 02139-1047 Ph: (617) 665-1435 |
Dr. Benjamin Kerman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 330 Mount Auburn St, Cambridge, MA 02138 Phone: 617-499-5025 Fax: 617-864-0085 | |
Manon Loonis, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1493 Cambridge St, Cambridge, MA 02139 Phone: 617-665-1000 | |
Dr. Luis F Lobon, M.D., M.S. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1493 Cambridge St, Cambridge, MA 02139 Phone: 617-665-1712 Fax: 617-665-3145 | |
Allen Mario Poma, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 150 Vassal Ln, Cambridge, MA 02138 Phone: 617-714-5663 | |
Dr. Hannah Bach, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1493 Cambridge St, Cambridge, MA 02139 Phone: 231-409-2511 | |
Benjamin T Milligan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1493 Cambridge St, Cambridge, MA 02139 Phone: 617-665-2113 | |
Dr. Todd Thomsen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 330 Mount Auburn St, Emergency Dept, Cambridge, MA 02138 Phone: 617-499-5025 Fax: 617-864-0085 |