Individual
MATTHEW GEORGE WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11116 MEDICAL CAMPUS RD, SUITE 2989, HAGERSTOWN, MD 21742-6710
(301) 766-7600
(301) 797-4976
Mailing address
11116 MEDICAL CAMPUS RD, SUITE 2989, HAGERSTOWN, MD 21742-6710
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0034015
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001240825 0004
PA MEDICAID
MD
01
—
425459-02
BC/BS ID #
MD
05
—
5324319 00
—
MD
01
—
PVPB125341
APS PROVIDER ID
MD
Enumeration date
07/12/2006
Last updated
03/13/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us