Clinton Waggoner, MD - Medicare Diagnostic Radiology in Pensacola, FL

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Clinton Waggoner, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Pensacola, Florida. He went to University Of Alabama School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Southern Orthopaedic Alliance Pllc, Coastal Neurological Institute Pc, Radiology Associates Of Birmingham, P.c., Radiology Associates Of Birmingham, P.c. and his current practice location is 5151 N 9th Ave, Pensacola, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 476-8602.

Clinton Waggoner is licensed to practice in Florida (license number ME111431) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235344011.

Contact Information

Clinton Waggoner, MD
5151 N 9th Ave,
Pensacola, FL 32504-8721
(850) 476-8602
(850) 474-3518

Map and Direction




Physician's Profile

Full NameClinton Waggoner
GenderMale
SpecialityDiagnostic Radiology
Experience26 Years
Location5151 N 9th Ave, Pensacola, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Clinton Waggoner attended and graduated from University Of Alabama School Of Medicine in 1998
  NPI Data:
  • NPI Number: 1235344011
  • Provider Enumeration Date: 05/14/2007
  • Last Update Date: 09/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4688745763
  • Enrollment ID: I20080617000525

Medical Identifiers

Medical identifiers for Clinton Waggoner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235344011NPI-NPPES
110982MedicaidAL
111222MedicaidAL
51599270OtherALBCBS
007825700MedicaidFL
111237MedicaidAL
51599265OtherALBCBS
51599269OtherALBCBS
111224MedicaidAL
111236MedicaidAL
145235MedicaidAL
14P2LOtherFLBCBS OF FLORIDA
51067334OtherALBCBS
51599271OtherALBCBS
51599266OtherALBCBS
51599267OtherALBCBS
592-19398OtherFLBCBS OF ALABAMA
P01133899OtherFLRAILROAD MEDICARE
111238MedicaidAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 26192 (Alabama)Secondary
2085R0202XRadiology - Diagnostic Radiology ME111431 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Vincent's BirminghamBirmingham, ALHospital
Brookwood Baptist Medical CenterBirmingham, ALHospital
Riverview Regional Medical CenterGadsden, ALHospital
Russell Medical CenterAlexander city, ALHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern Orthopaedic Alliance Pllc236580060491
Coastal Neurological Institute Pc468861769918
Radiology Associates Of Birmingham, P.c.721492857134
Radiology Associates Of Birmingham, P.c.721492857134

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. Clinton Waggoner allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Alabama Health Services Foundation, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093768723
PECOS PAC ID: 1951213107
Enrollment ID: O20031105000261
Entity NameNorwood Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104879741
PECOS PAC ID: 8921996364
Enrollment ID: O20040308001107
Entity NameInri Medical Associates, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831103837
PECOS PAC ID: 0749270197
Enrollment ID: O20040517000780
Entity NameRadiology Associates Of Birmingham, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093778706
PECOS PAC ID: 7214928571
Enrollment ID: O20040524001193
Entity NameBioimaging Of Huntsville Inc
Entity TypePart B Supplier - Independent Diagnostic Testing Facility (idtf)
Entity IdentifiersNPI Number: 1801886080
PECOS PAC ID: 7416920483
Enrollment ID: O20040817001275
Entity NameCoastal Neurological Institute Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740212174
PECOS PAC ID: 4688617699
Enrollment ID: O20050609000711
Entity NameMeditek Greystone, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952372930
PECOS PAC ID: 0840248910
Enrollment ID: O20050825000369
Entity NameOpen Mri Of Shelby, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649241639
PECOS PAC ID: 7911944939
Enrollment ID: O20160606002547
Entity NameOpen Mri On 280, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801867890
PECOS PAC ID: 8123062163
Enrollment ID: O20160928000848
Entity NameMontclair Road Imaging, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114998192
PECOS PAC ID: 4880663731
Enrollment ID: O20161013000988
Entity NameMedica Stand-up Mri Of Birmingham, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609814151
PECOS PAC ID: 9032176128
Enrollment ID: O20161107000930
Entity NameSt Vincents Ambulatory Healthcare Network Llc
Entity TypePart B Supplier - Independent Diagnostic Testing Facility (idtf)
Entity IdentifiersNPI Number: 1588190441
PECOS PAC ID: 1355608456
Enrollment ID: O20171128001387
Entity NameSt Vincents Ambulatory Healthcare Network Llc
Entity TypePart B Supplier - Independent Diagnostic Testing Facility (idtf)
Entity IdentifiersNPI Number: 1033646823
PECOS PAC ID: 1355608456
Enrollment ID: O20180626000597
Entity NameCooper Green Mercy Health Services Authority An Affiliate Of Uab
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366073108
PECOS PAC ID: 0840629473
Enrollment ID: O20200402003238
Entity NameSouthern Orthopaedic Alliance Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588364228
PECOS PAC ID: 2365800604
Enrollment ID: O20230620001264

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. Clinton Waggoner 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 AddressPractice Location Address
Clinton Waggoner, MD
Po Box 9210,
Pensacola, FL 32513-9210

Ph: (850) 476-8602		Clinton Waggoner, MD
5151 N 9th Ave,
Pensacola, FL 32504-8721

Ph: (850) 476-8602

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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