Dr Christopher S Wagoner, MD | |
5213 Godfrey Rd Ste 110, Godfrey, IL 62035-2510 | |
(618) 619-3330 | |
(618) 619-3390 |
Full Name | Dr Christopher S Wagoner |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 17 Years |
Location | 5213 Godfrey Rd Ste 110, Godfrey, Illinois |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750583506 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036.125125 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Pike County Health Department | Pittsfield, IL | Home health agency |
Elara Caring V | Springfield, IL | Home health agency |
Illini Community Hospital | Pittsfield, IL | Hospital |
Blessing Hospital | Quincy, IL | Hospital |
Pittsfield Manor | Pittsfield, IL | Nursing home |
Eastside Health & Rehab Center | Pittsfield, IL | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Blessingcare Corporation | 2769420959 | 14 |
Entity Name | Blessingcare Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992038640 PECOS PAC ID: 2769420959 Enrollment ID: O20050419000684 |
Mailing Address | Practice Location Address |
---|---|
Dr Christopher S Wagoner, MD 660 Mason Ridge Center Dr Ste 300, Saint Louis, MO 63141-8512 Ph: (314) 448-3791 | Dr Christopher S Wagoner, MD 5213 Godfrey Rd Ste 110, Godfrey, IL 62035-2510 Ph: (618) 619-3330 |
Dr. Jon Anthony Wagnon, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1368 Dadrian Professional Park, Godfrey, IL 62035 Phone: 618-433-9701 Fax: 618-433-9706 | |
Michael Robert Messmer, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5213 Godfrey Rd Ste 110, Godfrey, IL 62035 Phone: 618-463-8500 Fax: 618-463-7601 | |
Tyler Kimball Wright, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5213 Godfrey Rd Ste 110, Godfrey, IL 62035 Phone: 618-619-3330 | |
Dr. Yusuf Ata Mohyuddin, M.D., M.P.H. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1311 Dadrian Professional Park, Godfrey, IL 62035 Phone: 618-466-2523 Fax: 618-466-2593 |