Kathryn R Wagner, MD - Medicare Diagnostic Radiology in Worcester, MA

Kathryn R Wagner, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Worcester, Massachusetts. She went to Temple University School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Meriden Imaging Center Inc, Midstate Radiology Associates, Llc and her current practice location is 10 Belvidere Ave, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (952) 595-1100.

Kathryn R Wagner is licensed to practice in Massachusetts (license number 269724) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043508617.

Contact Information

Kathryn R Wagner, MD
10 Belvidere Ave,
Worcester, MA 01605
(952) 595-1100
(612) 294-4903



Physician's Profile

Full NameKathryn R Wagner
GenderFemale
SpecialityDiagnostic Radiology
Experience13 Years
Location10 Belvidere Ave, Worcester, Massachusetts
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kathryn R Wagner attended and graduated from Temple University School Of Medicine in 2011
  NPI Data:
  • NPI Number: 1043508617
  • Provider Enumeration Date: 07/18/2011
  • Last Update Date: 08/07/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5092006486
  • Enrollment ID: I20190503000998

Medical Identifiers

Medical identifiers for Kathryn R Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043508617NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 304543 (Louisiana)Secondary
2085R0202XRadiology - Diagnostic Radiology 269724 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
William W Backus HospitalNorwich, CTHospital
The Hospital Of Central ConnecticutNew britain, CTHospital
Midstate Medical CenterMeriden, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Meriden Imaging Center Inc438568355649
Midstate Radiology Associates, Llc488059356573

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kathryn R Wagner allows following entities to bill medicare on her behalf.
Entity NameMidstate Radiology Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578518999
PECOS PAC ID: 4880593565
Enrollment ID: O20031231000543

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Entity NameDiagnostic Imaging Services Of Ct Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093760431
PECOS PAC ID: 3577465111
Enrollment ID: O20040123000288

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Entity NameMeriden Imaging Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508812561
PECOS PAC ID: 4385683556
Enrollment ID: O20050427000621

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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. Kathryn R 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
Kathryn R Wagner, MD
11995 Singletree Ln, Ste 500,
Eden Prairie, MN 55344-5347

Ph: (952) 595-1301
Kathryn R Wagner, MD
10 Belvidere Ave,
Worcester, MA 01605

Ph: (952) 595-1100

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Radiology Doctors in Worcester, MA

Dominique Rowcroft, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 55 Lake Ave N, Worcester, MA 01655
Phone: 508-334-3850    
Alan Goldstein, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 55 Lake Ave N, Worcester, MA 01655
Phone: 508-334-3850    Fax: 508-856-1860
Jasmeet Singh, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 55 Lake Ave N, Worcester, MA 01655
Phone: 508-334-3850    Fax: 508-334-9108
John Robinson,
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 55 Lake Ave N, Worcester, MA 01655
Phone: 508-334-3850    
Fareed Riyaz, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 123 Summer St, Worcester, MA 01608
Phone: 978-939-2035    Fax: 978-939-2039
Dr. Elias H Salloum, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 123 Summer St, Worcester, MA 01608
Phone: 508-363-6177    
Iryna Rastarhuyeva, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 55 Lake Ave North, Worcester, MA 01655
Phone: 502-334-3850    

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