Mark Andrew Wagner, DO - Medicare Radiology in Madera, CA

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Mark Andrew Wagner, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Madera, California. His current practice location is 36680 Cloverleaf Ave, Madera, California. You can reach out to his office (for appointments etc.) via phone at (209) 489-9347.

Mark Andrew Wagner is licensed to practice in California (license number 20A5259) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336130087.

Contact Information

Mark Andrew Wagner, DO
36680 Cloverleaf Ave,
Madera, CA 93636-8519
(209) 489-9347
(209) 720-0107

Map and Direction




Physician's Profile

Full NameMark Andrew Wagner
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location36680 Cloverleaf Ave, Madera, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336130087
  • Provider Enumeration Date: 11/02/2005
  • Last Update Date: 06/24/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8921081670
  • Enrollment ID: I20050726001109

Medical Identifiers

Medical identifiers for Mark Andrew Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336130087NPI-NPPES
020A52590OtherCABLUE SHIELD
00AX52590MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 20A5259 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mark Andrew Wagner allows following entities to bill medicare on his behalf.
Entity NameRadadvantage A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376719666
PECOS PAC ID: 2163597899
Enrollment ID: O20090917000455
Entity NameKamalpreet Singh Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497483358
PECOS PAC ID: 9133596406
Enrollment ID: O20221031001749

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Andrew Wagner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mark Andrew Wagner, DO
4301 Northstar Way,
Modesto, CA 95356-9262

Ph: (209) 342-2300		Mark Andrew Wagner, DO
36680 Cloverleaf Ave,
Madera, CA 93636-8519

Ph: (209) 489-9347

Reviews and Comments


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Arthur B Fontaine, MD
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Edward N Nagel, MD
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Phone: 559-677-2541    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.