| Timothy J Wagner, MD | |
|
124 E Wolters 2nd, Shiner, TX 77984-7109 | |
| (361) 594-3824 | |
| (361) 594-4104 |
| Full Name | Timothy J Wagner |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 34 Years |
| Location | 124 E Wolters 2nd, Shiner, Texas |
| 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 |
|---|---|---|---|
| 1851372619 | NPI | - | NPPES |
| 135624802 | Medicaid | TX | |
| 836T776 | Other | TX | BLUE CROSS |
| 82Y592 | Other | TX | BC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J0340 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advanced Hh, Llc | Seguin, TX | Home health agency |
| Yoakum Community Hospital | Yoakum, TX | Hospital |
| Shiner Nursing And Rehabilitation Center Inc | Shiner, TX | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shiner Medical Llp | 0244579761 | 3 |
| Drs Wagner Andwagner Pa | 6507853280 | 3 |
| Entity Name | Drs Wagner &wagner Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124087887 PECOS PAC ID: 6507853280 Enrollment ID: O20040426001529 |
| Entity Name | Shiner Medical Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376028019 PECOS PAC ID: 0244579761 Enrollment ID: O20190228000630 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy J Wagner, MD Po Box 965, Shiner, TX 77984-0965 Ph: (361) 594-3824 | Timothy J Wagner, MD 124 E Wolters 2nd, Shiner, TX 77984-7109 Ph: (361) 594-3824 |
Dr. Ralph A Wagner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 124 E Wolters 2nd, Shiner, TX 77984 Phone: 361-594-3824 Fax: 361-594-4104 | |
Joy Sharon Bowen, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 714 N Ave E, Shiner, TX 77984 Phone: 361-594-2925 Fax: 361-594-4253 | |
Marshall C Bishop, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 124 E Wolters 2nd, Shiner, TX 77984 Phone: 361-594-3824 Fax: 361-594-4104 |