| Dr Richard Kent Wagner, MD | |
|
263 Farmington Avenue, Farmington, CT 06030-8085 | |
| (860) 679-3387 | |
| (860) 679-1494 |
| Full Name | Dr Richard Kent Wagner |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 36 Years |
| Location | 263 Farmington Avenue, Farmington, Connecticut |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003858952 | NPI | - | NPPES |
| 160058729 | Other | RR MEDICARE | |
| 3862861 | Medicaid | TN | |
| 861880 | Other | TX | MEDICARE |
| 4039002 | Other | BCBS | |
| 362343103 | Medicaid | TX | |
| P02351968 | Other | TX | MEDICARE RAIL ROAD |
| 8LP486 | Other | TX | BCBS |
| 03079002 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 67319 (Connecticut) | Secondary |
| 207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | 67319 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Connecticut Health Center | 3678472016 | 562 |
| Entity Name | Connecticut Children's Specialty Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468 |
| Entity Name | Griffin Faculty Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598755605 PECOS PAC ID: 7618871997 Enrollment ID: O20031120000158 |
| Entity Name | Bristol Hospital Multi-specialty Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649265679 PECOS PAC ID: 9032014758 Enrollment ID: O20031204000960 |
| Entity Name | University Of Connecticut Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720083769 PECOS PAC ID: 3678472016 Enrollment ID: O20040106000105 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard Kent Wagner, MD 263 Farmington Avenue, Farmington, CT 06030-8085 Ph: (860) 679-3387 | Dr Richard Kent Wagner, MD 263 Farmington Avenue, Farmington, CT 06030-8085 Ph: (860) 679-3387 |
Dr. Claudio A. Benadiva, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2 Batterson Park Rd, Farmington, CT 06032 Phone: 860-679-4580 | |
Molly Brewer, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Uconn Medical Group/neag Cancer Center, Farmington, CT 06030 Phone: 860-679-2100 Fax: 860-679-4815 | |
Reeva Makhijani, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2 Batterson Park Rd, Farmington, CT 06032 Phone: 844-467-3483 | |
Donald B Maier, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2 Batterson Park Rd, Farmington, CT 06032 Phone: 860-678-3428 | |
Nicole Gavin, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-2329 Fax: 860-679-1494 | |
Dr. Chito Umenyi Nwana, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-2853 |