| Stephanie Ann Wagner, MD | |
|
3699 Epworth Rd, Newburgh, IN 47630-8909 | |
| (812) 471-1200 | |
| (812) 475-6700 |
| Full Name | Stephanie Ann Wagner |
|---|---|
| Gender | Female |
| Speciality | Hematology/oncology |
| Experience | 24 Years |
| Location | 3699 Epworth Rd, Newburgh, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376680876 | NPI | - | NPPES |
| 50020098 | Other | KY | PASSPORT |
| 7100058720 | Medicaid | KY | |
| 000000991170 | Other | IN | ANTHEM PIN |
| 200911200 | Medicaid | IN |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St Vincent Evansville | Evansville, IN | Hospital |
| Memorial Hospital And Health Care Center | Jasper, IN | Hospital |
| Deaconess Hospital Inc | Evansville, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Marys Medical Group Llc | 1153493341 | 219 |
| St Marys Health Inc | 9133023898 | 40 |
| Entity Name | Parkview Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288 |
| Entity Name | Little Company Of Mary Hospital Of Indiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114120128 PECOS PAC ID: 4587578042 Enrollment ID: O20031118000733 |
| Entity Name | St Marys Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497706287 PECOS PAC ID: 9133023898 Enrollment ID: O20031124000522 |
| Entity Name | University Medical Diagnostic Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861441537 PECOS PAC ID: 3375446347 Enrollment ID: O20040202000510 |
| Entity Name | St Marys Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164852539 PECOS PAC ID: 1153493341 Enrollment ID: O20140313001275 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Ann Wagner, MD Po Box 44994, Indianapolis, IN 46244-0994 Ph: (317) 274-4402 | Stephanie Ann Wagner, MD 3699 Epworth Rd, Newburgh, IN 47630-8909 Ph: (812) 471-1200 |
Dr. Robert Ernest Swaney Iii, MD, MSPH, FACP Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3699 Epworth Rd, Newburgh, IN 47630 Phone: 812-471-1200 | |
Dr. Maruthi Srikanth Penumetsa, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4007 Gateway Blvd # 100, Newburgh, IN 47630 Phone: 812-842-0907 Fax: 812-490-7919 | |
Dr. Frank X Pamelia, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 4007 Gateway Blvd, Ste100, Newburgh, IN 47630 Phone: 812-842-0907 Fax: 812-490-5536 | |
Dr. Prasanna Lakshmi Yelamanchili, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4007 Gateway Blvd, Ste 100, Newburgh, IN 47630 Phone: 812-842-0907 Fax: 812-490-7054 | |
Dr. Leslie Rae Pike Brown, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3699 Epworth Rd, Newburgh, IN 47630 Phone: 812-471-1200 | |
Mr. Mohammad Bashar Mourad, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9355 Warrick Trl, Newburgh, IN 47630 Phone: 270-689-1919 Fax: 270-689-1990 | |
Mr. Ashwin Sabarivijay Durairaj, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4007 Gateway Blvd, Newburgh, IN 47630 Phone: 812-464-9133 Fax: 812-464-0559 |