| Mark Stephen Wagner, MD | |
|
298 Memorial Dr, Seneca, SC 29672-9443 | |
| (864) 885-7758 | |
| (864) 885-7749 |
| Full Name | Mark Stephen Wagner |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 298 Memorial Dr, Seneca, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336112614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 31391 (South Carolina) | Secondary |
| 208M00000X | Hospitalist | 31391 (South Carolina) | Primary |
| Entity Name | Greenville Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568532513 PECOS PAC ID: 8123938131 Enrollment ID: O20031212000723 |
| Entity Name | Prisma Health University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568799955 PECOS PAC ID: 8325950983 Enrollment ID: O20040108000041 |
| Entity Name | Regency Hospital Of Greenville, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396747929 PECOS PAC ID: 2264495829 Enrollment ID: O20061003000690 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Stephen Wagner, MD 1 Independence Pt Ste 212, Greenville, SC 29615-4536 Ph: (864) 797-6306 | Mark Stephen Wagner, MD 298 Memorial Dr, Seneca, SC 29672-9443 Ph: (864) 885-7758 |
Jifeng Wang, Hospitalist Medicare: Medicare Enrolled Practice Location: 298 Memorial Dr, Seneca, SC 29672 Phone: 864-885-7758 Fax: 864-885-7749 | |
Thomas Dashiell Jr., MD Hospitalist Medicare: Medicare Enrolled Practice Location: 140 Tokeena Rd, Seneca, SC 29678 Phone: 954-399-4673 | |
Dhruval Patel, M.D Hospitalist Medicare: Medicare Enrolled Practice Location: 298 Memorial Dr, Seneca, SC 29672 Phone: 864-885-7758 Fax: 864-885-7749 | |
Alex James Yu, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 298 Memorial Dr, Seneca, SC 29672 Phone: 864-885-7758 Fax: 864-885-7749 | |
Nathaniel E Richards, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 298 Memorial Dr, Seneca, SC 29672 Phone: 864-885-7758 Fax: 864-885-7749 | |
Mahabuba Akhter, Hospitalist Medicare: Medicare Enrolled Practice Location: 298 Memorial Dr, Seneca, SC 29672 Phone: 864-885-7758 Fax: 864-885-7749 | |
Joseph Olawole Ogunsulire, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 298 Memorial Dr, Seneca, SC 29672 Phone: 864-885-7758 Fax: 864-855-7749 |