Brook Rene Wager (NPI# 1821257577, PAC ID# 5294981254) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
Nation Provider ID (NPI) | 1821257577 |
PAC ID by PECOS | 5294981254 |
Professional Enrollment ID | I20171116000707 |
Full Name | Brook Rene Wager |
Organization Legal Name | REGIONAL WEST GARDEN COUNTY |
Address |
1100 W 2nd St Oshkosh NE 69154-6117 |
Phone Number | 3087723283 |
Gender | M |
Medical School | UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE |
Graduation Year | 2006 |
Primary Specialty | EMERGENCY MEDICINE |
Group Practice PAC ID | 3971502873 |
Number of Group Practice Members | 7 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
281310 | REGIONAL WEST GARDEN COUNTY HOSPITAL |
280061 | REGIONAL WEST MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1100 W 2nd St, Oshkosh, NE 69154-6117 | 3087723283 | REGIONAL WEST GARDEN COUNTY |
4021 Ave B, Scottsbluff, NE 69361-4602 | 3086301384 | REGIONAL WEST MEDICAL CENTER |
Organization Legal Name | REGIONAL WEST GARDEN COUNTY |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Valerie Jean Cox | Chiropractic | Regional West Garden County | 1100 W 2nd St, Oshkosh, NE 69154-6117 |
Paula L Plog | Physician Assistant | Regional West Garden County | 1100 W 2nd St, Oshkosh, NE 69154-6117 |
Kristin Cartright | Chiropractic | Regional West Garden County | 1100 W 2nd St, Oshkosh, NE 69154-6117 |
Harold Wallace Keenan | General Practice | Regional West Garden County | 1100 W 2nd St, Oshkosh, NE 69154-6117 |
Street Address |
1100 W 2ND ST |
City | OSHKOSH |
State | NE |
Zip | 69154-6117 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stephen C Johnson | Diagnostic Radiology | Radiology Imaging of Nebraska, LLC | 1100 W 2nd St, Oshkosh, NE 69154-6096 |
Valerie Jean Cox | Chiropractic | Regional West Garden County | 1100 W 2nd St, Oshkosh, NE 69154-6117 |
Paula L Plog | Physician Assistant | Regional West Garden County | 1100 W 2nd St, Oshkosh, NE 69154-6117 |
Kristin Cartright | Chiropractic | Regional West Garden County | 1100 W 2nd St, Oshkosh, NE 69154-6117 |
Harold Wallace Keenan | General Practice | Regional West Garden County | 1100 W 2nd St, Oshkosh, NE 69154-6117 |
City | OSHKOSH |
Zip Code | 69154 |
Specialty | EMERGENCY MEDICINE |
City + Specialty | OSHKOSH + EMERGENCY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.