Jared Wagner, MD - Medicare Radiology in Grand Rapids, MI

Jared Wagner, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Grand Rapids, Michigan. His current practice location is 100 Michigan St Ne Ste A601, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 391-3245.

Jared Wagner is licensed to practice in Michigan (license number 4351048222) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679154090.

Contact Information

Jared Wagner, MD
100 Michigan St Ne Ste A601,
Grand Rapids, MI 49503-2560
(616) 391-3245
Not Available



Physician's Profile

Full NameJared Wagner
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location100 Michigan St Ne Ste A601, Grand Rapids, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679154090
  • Provider Enumeration Date: 04/16/2021
  • Last Update Date: 06/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4981005758
  • Enrollment ID: I20210630002720

Medical Identifiers

Medical identifiers for Jared Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679154090NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 4351048222 (Michigan)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. Jared 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 AddressPractice Location Address
Jared Wagner, MD
100 Michigan St Ne Ste A601,
Grand Rapids, MI 49503-2560

Ph: (616) 391-3245
Jared Wagner, MD
100 Michigan St Ne Ste A601,
Grand Rapids, MI 49503-2560

Ph: (616) 391-3245

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Radiology Doctors in Grand Rapids, MI

Dr. Jon R Henke, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525
Phone: 616-363-7272    Fax: 616-363-7290
Geoffrey M. Remes, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525
Phone: 616-363-7339    Fax: 616-361-5828
Jan L Mourelatos, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525
Phone: 616-363-7272    Fax: 616-361-5828
Dr. Brendan Michael Banyon, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525
Phone: 616-363-7272    
Dr. Joseph J Junewick, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525
Phone: 616-363-7272    Fax: 616-363-7290
Keith Alan Morrow, D.O.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525
Phone: 616-363-7339    Fax: 616-361-5828
Dr. Andrew Kent Moriarity, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525
Phone: 616-363-7339    

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