| Matthew George Wagner, MD | |
|
11116 Medical Campus Rd, Suite 2989, Hagerstown, MD 21742-6710 | |
| (301) 766-7600 | |
| (301) 797-4976 |
| Full Name | Matthew George Wagner |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 36 Years |
| Location | 11116 Medical Campus Rd, Hagerstown, Maryland |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689609133 | NPI | - | NPPES |
| 425459-02 | Other | MD | BC/BS ID # |
| 001240825 0004 | Other | MD | PA MEDICAID |
| PVPB125341 | Other | MD | APS PROVIDER ID |
| 5324319 00 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | D0034015 (Maryland) | Primary |
| Entity Name | Meritus Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205176393 PECOS PAC ID: 7113811795 Enrollment ID: O20040212000950 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew George Wagner, MD 11116 Medical Campus Rd, Suite 2989, Hagerstown, MD 21742-6710 Ph: () - | Matthew George Wagner, MD 11116 Medical Campus Rd, Suite 2989, Hagerstown, MD 21742-6710 Ph: (301) 766-7600 |
Jamal Fawaz, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 13215 Brook Lane, Hagerstown, MD 21742 Phone: 301-733-0331 Fax: 301-733-4038 | |
Dr. Terri Ann Sears-nickens, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1180 Professional Ct, Hagerstown, MD 21740 Phone: 301-791-3045 Fax: 240-313-3071 | |
Dr. Chris Gauthier, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 13121 Brooklane Dr, Hagerstown, MD 21742 Phone: 301-733-0330 | |
Dr. Gunvant K Thaker, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 13215 Brook Lane, Hagerstown, MD 21742 Phone: 301-733-0330 Fax: 301-733-4038 | |
David Gonzalez-cawley, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 13215 Brook Lane, Hagerstown, MD 21742 Phone: 301-733-0330 Fax: 301-733-4038 | |
Susan Jane Boyd, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 201 S Cleveland Ave Fl 3, Hagerstown, MD 21740 Phone: 301-745-3777 Fax: 833-450-3533 | |
Dr. Ira Sanders Lourie, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 18902 Preston Rd, Hagerstown, MD 21742 Phone: 301-733-2633 Fax: 301-733-7388 |