Dr Kristopher Mg Wagner-porter, MD is a medicare enrolled "General Practice" physician in Whiteman Afb, Missouri. His current practice location is
331 Sijan Ave, Whiteman Afb, Missouri. You can reach out to his office (for appointments etc.) via phone at
(666) 687-2252.
Dr Kristopher Mg Wagner-porter is licensed to practice in Indiana (license number 01065866A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1922259134.
Physician's Profile
Full Name | Dr Kristopher Mg Wagner-porter |
---|
Gender | Male |
---|
Speciality | General Practice |
---|
Location | 331 Sijan Ave, Whiteman Afb, Missouri |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1922259134
- Provider Enumeration Date: 10/07/2008
- Last Update Date: 10/07/2008
Medicare PECOS Information:
- PECOS PAC ID: 3072744242
- Enrollment ID: I20140401001904
Medical Identifiers
Medical identifiers for Dr Kristopher Mg Wagner-porter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922259134 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 01065866A (Indiana) | 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 Kristopher Mg Wagner-porter 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 Kristopher Mg Wagner-porter, MD 331 Sijan Ave, Whiteman Afb, MO 65305-1269 Ph: (666) 687-2252 | Dr Kristopher Mg Wagner-porter, MD 331 Sijan Ave, Whiteman Afb, MO 65305-1269 Ph: (666) 687-2252 |
Reviews and Comments