Dr Jon Anthony Wagnon, DO is a medicare enrolled "Emergency Medicine" physician in Godfrey, Illinois. 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 | |
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| Experience | 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 attended and graduated from in
NPI Data:
- NPI Number: 1265623268
- Provider Enumeration Date: 08/05/2007
- Last Update Date: 01/23/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Jon Anthony Wagnon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 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 |
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 |
|---|
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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