| Matthew Anthony Wagner, DO | |
|
1500 E Sherman Blvd, Muskegon, MI 49444-1849 | |
| (231) 672-2000 | |
| Not Available |
| Full Name | Matthew Anthony Wagner |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 1500 E Sherman Blvd, Muskegon, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700415965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 5101027068 (Michigan) | Primary |
| 207R00000X | Internal Medicine | 5101027068 (Michigan) | Secondary |
| Entity Name | Mercy Specialty Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629010384 PECOS PAC ID: 2365439544 Enrollment ID: O20040429000064 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Anthony Wagner, DO Po Box 776982, Chicago, IL 60677-6982 Ph: (231) 672-2119 | Matthew Anthony Wagner, DO 1500 E Sherman Blvd, Muskegon, MI 49444-1849 Ph: (231) 672-2000 |
Kyle Nathaniel Turcic, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1500 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-672-2000 | |
Bartholomew David Sak, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1500 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-672-3883 Fax: 231-672-3973 | |
Dr. Peyton Paul Faganel, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1675 Leahy St Ste 201a, Muskegon, MI 49442 Phone: 231-672-7800 | |
William Alex Grady, PA-C Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1675 Leahy St Ste 315a, Muskegon, MI 49442 Phone: 231-672-8282 Fax: 231-672-8271 | |
Jon Michael Carnahan, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1500 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-672-3883 Fax: 231-672-3973 | |
Dr. Sripriya Ganesan, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1675 Leahy St Ste 304b, Muskegon, MI 49442 Phone: 231-728-1695 |