Dr Robert Gene Wagoner Ii, DMD MD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Henderson, Kentucky. His current practice location is
801 N. Elm Street, Henderson, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 212-0330.
Dr Robert Gene Wagoner Ii is licensed to practice in Kentucky (license number 7298) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1740368935.
Healthcare Provider's Profile
Full Name | Dr Robert Gene Wagoner Ii |
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Gender | Male |
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Speciality | Oral & Maxillofacial Surgery |
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Location | 801 N. Elm Street, Henderson, Kentucky |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1740368935
- Provider Enumeration Date: 11/02/2006
- Last Update Date: 09/04/2012
Medicare PECOS Information:
- PECOS PAC ID: 3173672110
- Enrollment ID: I20150403000866
Medical Identifiers
Medical identifiers for Dr Robert Gene Wagoner Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740368935 | NPI | - | NPPES |
000000299338 | Other | KY | ANTHEM BLUE CROSS BLUE SH |
64063514 | Medicaid | KY | |
60002003 | Medicaid | KY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 7298 (Kentucky) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 7298 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Robert Gene Wagoner Ii is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Robert Gene Wagoner Ii, DMD MD 801 N. Elm Street, Henderson, KY 42420-2705 Ph: (270) 212-0330 | Dr Robert Gene Wagoner Ii, DMD MD 801 N. Elm Street, Henderson, KY 42420-2705 Ph: (270) 212-0330 |
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