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DR. MARY WAGNER M.D.
NPI 1073627188
Emergency Medicine in Saginaw, MI

Active since August 18, 2006PECOS Enrolled
900 COOPER, SAGINAW, MI 48602(989) 583-6122(989) 583-2811 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mary Wagner M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY WAGNER M.D. (NPI 1073627188) is an individual emergency medicine provider in Saginaw, Michigan, licensed in Michigan (4301066736) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073627188
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. MARY WAGNERCredential: M.D.
Location Address900 COOPERSaginaw, MI 48602
Mailing Address1447 N Harrison StSaginaw, MI 48602-4727 · (989) 583-6122 · Fax (989) 583-2811
Phone(989) 583-6122
Fax(989) 583-2811
Sole ProprietorNo
Enumeration DateAugust 18, 2006
Last NPPES UpdateApril 1, 2021
NPPES CertifiedApril 1, 2021
✔ NPI 1073627188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MI · 4301066736
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
900 COOPER, Saginaw, MI 48602
Open in Google Maps ↗

Other Identifiers 1

Other930066254MI · Rail Road Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Wagner M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Mary Wagner reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Covenant Medical Center, Inc.
Same address
Emergency Medicine
900 COOPER ST
Saginaw, MI 48602
  • Reassigned Medicare billing, Michigan enrollment
  • 720 clinicians in this Medicare group
NPI 1972590412 (989) 583-6521
Cep America LLC
0.7 mi
Emergency Medicine
800 S WASHINGTON AVE
Saginaw, MI 48601
  • Reassigned Medicare billing, Michigan enrollment
  • 168 clinicians in this Medicare group
NPI 1912687328 (989) 497-3000
Degara App, PLLC
59 mi
Emergency Medicine
401 W GREENLAWN AVE
Lansing, MI 48910
  • Reassigned Medicare billing, Michigan enrollment
  • 295 clinicians in this Medicare group
NPI 1265976971 (517) 975-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LAKSHMI KOTTAMASU M.D.
Emergency Medicine
900 COOPER
SAGINAW, MA 48602
Saginaw County (989) 583-6122
DR. ANDREW BAZAKIS M.D.
Emergency Medicine
900 COOPER
SAGINAW, MI 48602
Saginaw County (989) 583-6521
DR. STEVEN VANCE M.D.
Emergency Medicine
900 COOPER
SAGINAW, MI 48602
Saginaw County (989) 583-6122
DR. KEVIN TISHKOWSKI D.O.
Emergency Medicine
900 COOPER
SAGINAW, MI 48602
Saginaw County (989) 583-6122
DR. MATTHEW D DEIBEL MD
Emergency Medicine
900 COOPER
SAGINAW, MI 48602
Saginaw County (989) 583-6122
DR. RISTY KALIVAS D.O.
Emergency Medicine
900 COOPER
SAGINAW, MI 48602
Saginaw County (989) 583-6122
DR. KIRSTEN GUENTHER M.D.
Emergency Medicine
900 COOPER
SAGINAW, MI 48602
Saginaw County (989) 583-6521

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Wagner's NPI number?

The NPI number for Mary Wagner is 1073627188. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Mary Wagner located?

Mary Wagner practices at 900 Cooper, Saginaw, MI 48602. The listed phone number is (989) 583-6122.

What is Mary Wagner's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mary Wagner enrolled in Medicare?

Yes. Mary Wagner is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Wagner reassigns Medicare benefits to 3 organizations: Covenant Medical Center, Inc. (Saginaw, MI), Cep America LLC (Saginaw, MI) and Degara App, PLLC (Lansing, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Wagner accept?

Health plans from Priority Health list Mary Wagner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Wagner was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.