| Michael Wayne Wagoner, DO | |
|
1109 Azure Ln, Celina, TX 75009-1798 | |
| (757) 971-0190 | |
| Not Available |
| Full Name | Michael Wayne Wagoner |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1109 Azure Ln, Celina, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902429749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | T5488 (Texas) | Primary |
| Entity Name | Texomacare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740233592 PECOS PAC ID: 3678555307 Enrollment ID: O20040604000868 |
| Entity Name | Primary Health Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770048704 PECOS PAC ID: 7810237740 Enrollment ID: O20190312003418 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Wayne Wagoner, DO 1109 Azure Ln, Celina, TX 75009-1798 Ph: (757) 971-0190 | Michael Wayne Wagoner, DO 1109 Azure Ln, Celina, TX 75009-1798 Ph: (757) 971-0190 |
Kevin J Shelton, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1771 S Preston Rd, Celina, TX 75009 Phone: 972-382-1000 Fax: 972-382-1167 | |
Hong An Thi Nguyen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 625 S Preston Rd Ste 130, Celina, TX 75009 Phone: 469-915-4825 Fax: 469-915-4841 | |
Dr. Kevin Todd Joyner, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1530 S Dallas Pkwy Ste 100, Celina, TX 75009 Phone: 945-677-9730 Fax: 945-677-9731 | |
Kylee Barker, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1060 S Preston Rd Ste 104, Celina, TX 75009 Phone: 972-382-4466 | |
Dr. Sohail Ahmad Saeed, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 N Preston Rd Ste 200, Celina, TX 75009 Phone: 972-382-3939 | |
Mr. Johnathan Dring, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4416 Switchgrass St, Celina, TX 75009 Phone: 214-549-1055 |