Amy L Wagoner, MD in Watertown, SD - Medicare Family Practice

Amy L Wagoner, MD is a medicare enrolled "Family Medicine" physician in Watertown, South Dakota. She went to Sanford School Of Medicine Of University Of South Dakota and graduated in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Root Function Wellness Pllc and her current practice location is 901 4th St Nw, Watertown, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 886-8471.

Amy L Wagoner is licensed to practice in South Dakota (license number 8597) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1376554568.

Contact Information

	Amy L Wagoner, MD
	901 4th St Nw, Watertown, SD 57201-1558
	(605) 886-8471
	(605) 886-9317

Map and Direction

Physician's Profile

Full Name	Amy L Wagoner
Gender	Female
Speciality	Family Practice
Experience	27 Years
Location	901 4th St Nw, Watertown, South Dakota
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Amy L Wagoner attended and graduated from Sanford School Of Medicine Of University Of South Dakota in 1997

NPI Data:

NPI Number: 1376554568
Provider Enumeration Date: 08/11/2006
Last Update Date: 10/01/2012

Medicare PECOS Information:

PECOS PAC ID: 6406939321
Enrollment ID: I20121128000532

Medical Identifiers

Medical identifiers for Amy L Wagoner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376554568	NPI	-	NPPES
32585100	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	40276 (Wisconsin)	Secondary
207Q00000X	Family Medicine	8597 (South Dakota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Prairie Lakes Healthcare System, Inc	Watertown, SD	Hospital
Milbank Area Hospital/avera Health	Milbank, SD	Hospital
Coteau Des Prairies Health Care System	Sisseton, SD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Root Function Wellness Pllc	6406193614	2

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amy L Wagoner allows following entities to bill medicare on her behalf.

Entity Name	Sanford Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396764254 PECOS PAC ID: 0244143824 Enrollment ID: O20031110000532

Entity Name	Root Function Wellness Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437629128 PECOS PAC ID: 6406193614 Enrollment ID: O20190125002213

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. Amy L Wagoner 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
Amy L Wagoner, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-6585	Amy L Wagoner, MD 901 4th St Nw, Watertown, SD 57201-1558 Ph: (605) 886-8471

Reviews and Comments

Family Medicine Doctors in Watertown, SD

Elliott W Filler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 9th Ave Nw, Watertown, SD 57201 Phone: 605-882-7810
Dr. Thomas R Lechner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 506 1st Ave Se, Watertown, SD 57201 Phone: 605-886-8482 Fax: 605-884-4300
Stephanie Marie Peyton-aas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 4th St Nw, Watertown, SD 57201 Phone: 605-886-1565
David T. Carlson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 506 1st Ave Se, Watertown, SD 57201 Phone: 605-886-8482 Fax: 605-884-4300
Stacie A. Lenssen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 506 1st Ave Se, Watertown, SD 57201 Phone: 605-886-8482 Fax: 605-884-4300
Kenneth M Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 4th St Nw, Watertown, SD 57201 Phone: 605-886-8471 Fax: 605-886-9317
William W Devine, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 4th St Nw, Watertown, SD 57201 Phone: 605-886-8471 Fax: 605-886-9317

Amy L Wagoner, MD - Medicare Family Practice in Watertown, SD