Dr Jack Wagner, MD in New Rochelle, NY - Surgery

Dr Jack Wagner, MD is a Surgery physician based in New Rochelle, New York. Dr Jack Wagner is licensed to practice in New York (license number 90773) and his current practice location is 37 Wilputte Pl, New Rochelle, New York. He can be reached at his office (for appointments etc.) via phone at (914) 636-5678.

NPI number for Dr Jack Wagner is 1578775326 and his current mailing address is 37 Wilputte Pl, New Rochelle, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578775326.

Contact Information

	Dr Jack Wagner, MD
	37 Wilputte Pl, New Rochelle, NY 10804-1426
	(914) 636-5678
	(914) 235-0153

Physician's Profile

Full Name	Dr Jack Wagner
Gender	Male
Speciality	Surgery
Location	37 Wilputte Pl, New Rochelle, New York
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1578775326
Provider Enumeration Date: 05/04/2007
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Jack Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578775326	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	90773 (New York)	Primary

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. Dr Jack Wagner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jack Wagner, MD 37 Wilputte Pl, New Rochelle, NY 10804-1426 Ph: (914) 636-5678	Dr Jack Wagner, MD 37 Wilputte Pl, New Rochelle, NY 10804-1426 Ph: (914) 636-5678

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Surgery Doctors in New Rochelle, NY

Dr. Burton L Herz, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 16 Guion Pl, New Rochelle, NY 10801 Phone: 914-637-1396 Fax: 914-637-1639
Dr. Allen S Rothman, MD Surgery Medicare: Medicare Enrolled Practice Location: 421 Hugenot Street, Suite #36, New Rochelle, NY 10801 Phone: 914-633-4070 Fax: 914-633-4139
Madhu Sudan Rangraj, MD FACS Surgery Medicare: Medicare Enrolled Practice Location: 140 Lockwood Ave, Suite 103, New Rochelle, NY 10801 Phone: 914-632-9650
Mr. Fabien Wesner Fleurant, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 103 Gail Drive, New Rochelle, NY 10805 Phone: 914-235-0623 Fax: 914-235-0623
Dr. Vasu Chirumamilla, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 16 Guion Pl, New Rochelle, NY 10801 Phone: 914-365-3998
Bindu Nalgonda, M.D, MPH Surgery Medicare: Not Enrolled in Medicare Practice Location: 16 Guion Pl, New Rochelle, NY 10801 Phone: 914-365-3998 Fax: 914-365-5440

Dr Jack Wagner, MD - Surgery in New Rochelle, NY