Daniel Leroy Waggoner, MD is a medicare enrolled "Allergy & Immunology" physician in Mystic, Connecticut. His current practice location is
23 Clara Dr, Suite 204, Mystic, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 536-2995.
Daniel Leroy Waggoner is licensed to practice in Connecticut (license number 045087) 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 1558406066.
Physician's Profile
Full Name | Daniel Leroy Waggoner |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 23 Clara Dr, Mystic, Connecticut |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Daniel Leroy Waggoner attended and graduated from in
NPI Data:
- NPI Number: 1558406066
- Provider Enumeration Date: 02/21/2007
- Last Update Date: 03/25/2016
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Daniel Leroy Waggoner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558406066 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207K00000X | Allergy & Immunology | 045087 (Connecticut) | Primary |
207KA0200X | Allergy & Immunology - Allergy | 45087 (Connecticut) | Secondary |
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. Daniel Leroy 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 Address | Practice Location Address |
Daniel Leroy Waggoner, MD 23 Clara Dr, Suite 204, Mystic, CT 06355-1959 Ph: (860) 536-2995 | Daniel Leroy Waggoner, MD 23 Clara Dr, Suite 204, Mystic, CT 06355-1959 Ph: (860) 536-2995 |
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