John Wagner is a Shreveport, Louisiana based psychiatrist with 19 years of experience in Child & Adolescent. He completed his graduation from Louisiana State University School Of Medicine In Shreveport in 2005. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of John Wagner is MD.201230 for Child & Adolescent in Louisiana. His current practice location is 7330 Fern Ave Ste 704, Shreveport. Patients can reach him at 318-798-8261 or can fax him at 316-798-8263. John Wagner is M.D. in Child & Adolescent and his NPI number (Unique professional ID assigned by NPPES) is 1033320577. John Wagner has done additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Profile:
John Wagner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
John Wagner
Specialization:
Child & Adolescent
Gender:
Male
Credentials:
M.D.
Experience:
19+ years
Medical School Attended:
Louisiana State University School Of Medicine In Shreveport
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7719001452
Enrollment ID:
I20100901000375
NPI Number:
1033320577
NPI Enumeration Date:
25 May, 2007
NPI Last Update On:
22 May, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for John Wagner are as mentioned below.
License Number
Specialization
State
Status
MD.201230
Child & Adolescent
Louisiana
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which John Wagner is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Lsu Health Sciences Center Shreveport Faculty Group Practice (4082902721)
555
Other Medical Identifiers:
Other legacy medical identifiers associated with John Wagner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1214841
Medicaid
Louisiana
4P278F600
Other
Louisiana
MEDICARE - PTAN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
John Wagner 7330 Fern Ave Ste 704, Shreveport, Louisiana
Zip:
71105-4985
Phone Number:
318-798-8261
Fax Number:
316-798-8263
Patients can reach John Wagner at 7330 Fern Ave Ste 704, Shreveport, Louisiana or can call to book an appointment on 318-798-8261.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.