Dr Jon Anthony Wagnon, DO is a medicare enrolled "Emergency Medicine" physician in Godfrey, Illinois. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Cepamerica Illinois Llp and his current practice location is
1368 Dadrian Professional Park, Godfrey, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 433-9701.
Dr Jon Anthony Wagnon is licensed to practice in Illinois (license number 036120316) 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 1265623268.
Physician's Profile
| Full Name | Dr Jon Anthony Wagnon |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 19 Years |
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| Location | 1368 Dadrian Professional Park, Godfrey, Illinois |
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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. |
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Medical Education and Training:
- Dr Jon Anthony Wagnon graduated from medical school in 2005
NPI Data:
- NPI Number: 1265623268
- Provider Enumeration Date: 08/05/2007
- Last Update Date: 01/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 0345300596
- Enrollment ID: I20081118000860
Medical Identifiers
Medical identifiers for Dr Jon Anthony Wagnon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265623268 | NPI | - | NPPES |
| 036120316 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 2006033803 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | 036120316 (Illinois) | Secondary |
| 207P00000X | Emergency Medicine | 036120316 (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. Dr Jon Anthony Wagnon allows following entities to bill medicare on his behalf.
| Entity Name | Cepamerica Illinois Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912283110
PECOS PAC ID: 3274793633
Enrollment ID: O20120322000587 |
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| Entity Name | Optimal Health Medicine Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316299332
PECOS PAC ID: 1254583164
Enrollment ID: O20121128000361 |
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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. Dr Jon Anthony Wagnon 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 |
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Dr Jon Anthony Wagnon, DO
1368 Dadrian Professional Park,
Godfrey, IL 62035-1685
Ph: (618) 433-9701 | Dr Jon Anthony Wagnon, DO
1368 Dadrian Professional Park,
Godfrey, IL 62035-1685
Ph: (618) 433-9701 |
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