Mr Willis H Wagner, MD in Los Angeles, CA - Medicare Vascular Surgery

Mr Willis H Wagner, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Los Angeles, California. He graduated from medical school in 1981 and has 43 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Cedars-sinai Medical Center Pharmacy 3, Vascular Surgery Associates and his current practice location is 8631 W 3rd St, Suite 615e, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (310) 652-8132.

Mr Willis H Wagner is licensed to practice in California (license number G049464) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003836248.

Contact Information

	Mr Willis H Wagner, MD
	8631 W 3rd St, Suite 615e, Los Angeles, CA 90048-5901
	(310) 652-8132
	(310) 659-3815

Map and Direction

Physician's Profile

Full Name	Mr Willis H Wagner
Gender	Male
Speciality	Vascular Surgery
Experience	43 Years
Location	8631 W 3rd St, Los Angeles, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Willis H Wagner graduated from medical school in 1981

NPI Data:

NPI Number: 1003836248
Provider Enumeration Date: 07/20/2006
Last Update Date: 10/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0749241487
Enrollment ID: I20041214001253

Medical Identifiers

Medical identifiers for Mr Willis H Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003836248	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	G049464 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cedars-sinai Medical Center	Los angeles, CA	Hospital
Providence Saint John's Health Center	Santa monica, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cedars-sinai Medical Center Pharmacy 3	0446169114	648
Vascular Surgery Associates	3072984129	5

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. Mr Willis H Wagner allows following entities to bill medicare on his behalf.

Entity Name	Cedars-sinai Medical Center Pharmacy #3
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639172372 PECOS PAC ID: 0446169114 Enrollment ID: O20040204000886

Entity Name	Vascular Surgery Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154341691 PECOS PAC ID: 0749241479 Enrollment ID: O20041025001210

Entity Name	Vascular Surgery Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538871686 PECOS PAC ID: 3072984129 Enrollment ID: O20230127000741

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. Mr Willis H 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 Address	Practice Location Address
Mr Willis H Wagner, MD 8631 W 3rd St, Suite 615e, Los Angeles, CA 90048-5901 Ph: (310) 652-8132	Mr Willis H Wagner, MD 8631 W 3rd St, Suite 615e, Los Angeles, CA 90048-5901 Ph: (310) 652-8132

Reviews and Comments

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Mr Willis H Wagner, MD - Medicare Vascular Surgery in Los Angeles, CA