Archana G Wagle, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Rock Island, Illinois. She went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 1991 and has 33 years of diverse experience with area of expertise as Anesthesiology. Her current practice location is
2701 17th St, Rock Island, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 779-5000.
Archana G Wagle is licensed to practice in Illinois (license number 036100676) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366421968.
Physician's Profile
Full Name | Archana G Wagle |
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Gender | Female |
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Speciality | Anesthesiology |
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Experience | 33 Years |
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Location | 2701 17th St, Rock Island, Illinois |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Archana G Wagle attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 1991
NPI Data:
- NPI Number: 1366421968
- Provider Enumeration Date: 01/11/2006
- Last Update Date: 08/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 7214924414
- Enrollment ID: I20070327000183
Medical Identifiers
Medical identifiers for Archana G Wagle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366421968 | NPI | - | NPPES |
036100676 | Medicaid | IL | |
0546036 | Medicaid | IA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 036100676 (Illinois) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | 036100676 (Illinois) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 036100676 (Illinois) | Primary |
Medical Facilities Affiliation
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. Archana G Wagle allows following entities to bill medicare on her behalf.
Entity Name | Archana Wagle M D A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720303605 PECOS PAC ID: 3476685199 Enrollment ID: O20101012001332 |
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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. Archana G Wagle 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 |
Archana G Wagle, MD Po Box 689, Lake Forest, IL 60045-0689 Ph: (847) 615-2200 | Archana G Wagle, MD 2701 17th St, Rock Island, IL 61201-5351 Ph: (309) 779-5000 |
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