| Kyle Wagner, DO | |
|
2525 Desales Ave, Chattanooga, TN 37404-1161 | |
| (423) 495-2525 | |
| Not Available |
| Full Name | Kyle Wagner |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 4 Years |
| Location | 2525 Desales Ave, Chattanooga, Tennessee |
| 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 |
|---|---|---|---|
| 1538740345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 6096 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Healthcare System, Inc | Chattanooga, TN | Hospital |
| Commonspirit-memorial Hospital-north Georgia | Ringgold, GA | Hospital |
| Erlanger Health System | Chattanooga, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Health Partners Foundation Inc | 8022919570 | 458 |
| Entity Name | Memorial Health Partners Foundation, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922053545 PECOS PAC ID: 8022919570 Enrollment ID: O20040116000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Wagner, DO 215 Brightwater Dr, Lillington, NC 27546-5156 Ph: (910) 892-1000 | Kyle Wagner, DO 2525 Desales Ave, Chattanooga, TN 37404-1161 Ph: (423) 495-2525 |
Luke Risen Otstot, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 975 E 3rd St, Chattanooga, TN 37403 Phone: 423-778-5198 |
Timothy Houston Mullican, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 975 E 3rd St # 112, Chattanooga, TN 37403 Phone: 423-778-2998 |
Dr. Marina Grigorian, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 2525 De Sales Ave., Memorial Hospital, Chattanooga, TN 37404 Phone: 423-495-2620 |
Sarita Kandel Sapkota, MBBS (M.D.) Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 975 E 3rd St, Attn: University Hospitalists, Chattanooga, TN 37403 Phone: 423-266-1490 Fax: 423-778-2108 |
Amy Elizabeth Walthour, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 975 E 3rd St, Attn: University Hospitalists, Chattanooga, TN 37403 Phone: 423-266-1490 Fax: 423-778-2108 |
Dr. Timothy Mcbride, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1100 E 3rd St, Chattanooga, TN 37403 Phone: 423-778-2957 |
Dr. Ryan Ying Ming Lam, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 975 E 3rd St, Chattanooga, TN 37403 Phone: 423-778-5179 Fax: 423-778-2108 |