| Kurt B Wagner, MD | |
|
1749 David Walker Dr, Tavares, FL 32778-5745 | |
| (352) 742-1760 | |
| (352) 742-2604 |
| Full Name | Kurt B Wagner |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1749 David Walker Dr, Tavares, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548202427 | NPI | - | NPPES |
| 066638600 | Medicaid | FL | |
| 35186 | Other | FL | BCBS |
| 010053499 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME36930 (Florida) | Primary |
| Entity Name | Florida Hospital Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
| Mailing Address | Practice Location Address |
|---|---|
| Kurt B Wagner, MD 1749 David Walker Dr, Tavares, FL 32778-5745 Ph: (352) 742-1760 | Kurt B Wagner, MD 1749 David Walker Dr, Tavares, FL 32778-5745 Ph: (352) 742-1760 |
Devlin O'connor, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3330 Waterman Way, Tavares, FL 32778 Phone: 352-343-0181 Fax: 352-343-0812 | |
Dr. Perth Agusta Blake, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1840 Classique Ln, Tavares, FL 32778 Phone: 352-508-5046 Fax: 352-508-5048 | |
James L. Willis, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1741 David Walker Dr, Tavares, FL 32778 Phone: 352-742-8836 Fax: 352-742-8829 | |
Dr. John Thomas Watson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1729 David Walker Dr, Tavares, FL 32778 Phone: 352-508-4455 Fax: 844-388-6186 | |
David G Koo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 352-742-8836 Fax: 352-742-8829 | |
Mohammad Hadi Masood, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 352-742-3578 Fax: 352-742-3581 | |
Chuong Hoang Vu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1755 David Walker Dr, Tavares, FL 32778 Phone: 352-742-8830 Fax: 352-742-8826 |