Russell Wagner is a Fort Worth, Texas based male orthopedic surgeon with 37 years of experience in Adult Reconstructive Orthopaedic Surgery. He completed his graduation from University Of Texas Southwestern Medical School At Dallas in 1987. He is also affiliated with hospitals like Jps Health Network. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Russell Wagner is H4772 for Orthopedic Surgery in Texas.
Russell Wagner deals with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Complete Profile:
Russell Wagner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Orthopedic - Adult Reconstructive Orthopaedic Surgery
Credentials:
MD
Experience:
37+ years
Medical School Attended:
University Of Texas Southwestern Medical School At Dallas
Graduation Year:
1987
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1500 S Main St, Fort Worth, Texas, 76104-4917
Phone:
817-702-7144
Professional Identification Codes:
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:
4880628445
Enrollment ID:
I20050922000793
NPI Number:
1154365013
NPI Enumeration Date:
15 Jun, 2006
NPI Last Update On:
18 Dec, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Russell Wagner are as mentioned below.
License Number
Specialization
State
Status
H4772
Orthopedic Surgery
Texas
Primary
H4772
Adult Reconstructive Orthopaedic Surgery
Texas
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Jps Health Network (450039)
Fort worth, TX
Acute Care Hospital
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 Russell Wagner is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Acclaim Physician Group Inc (4587963582)
436
Other Medical Identifiers:
Other legacy medical identifiers associated with Russell Wagner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
8U1280
Other
Texas
BCBS
P00249664
Other
Texas
RAILROAD MEDICARE PIN
123495705
Medicaid
Texas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 99335, Fort Worth, Texas
Zip:
76199-0335
Phone Number:
817-735-2900
Fax Number:
817-735-2902
Patients can reach Russell Wagner at 1500 S Main St, Fort Worth, Texas or can call to book an appointment on 817-702-7144. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
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