Dr Neil William Wangstrom, MD is a medicare enrolled "Otolaryngology" physician in La Porte, Indiana. His current practice location is
304 Detroit St, La Porte, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 325-3770.
Dr Neil William Wangstrom is licensed to practice in Indiana (license number 01038858) 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 1730189820.
Physician's Profile
| Full Name | Dr Neil William Wangstrom |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 304 Detroit St, La Porte, Indiana |
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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 Neil William Wangstrom attended and graduated from in
NPI Data:
- NPI Number: 1730189820
- Provider Enumeration Date: 07/29/2005
- Last Update Date: 09/16/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Neil William Wangstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730189820 | NPI | - | NPPES |
| M400041676 | Other | IN | MEDICARE PTAN |
| 000000697664 | Other | IN | ANTHEM |
| 100165330 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | 01038858 (Indiana) | Primary |
| 207YP0228X | Otolaryngology - Pediatric Otolaryngology | 01038858 (Indiana) | Secondary |
| 207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | 01038858 (Indiana) | Secondary |
| 207YX0602X | Otolaryngology - Otolaryngic Allergy | 01038858 (Indiana) | Secondary |
| 207YX0901X | Otolaryngology - Otology & Neurotology | 01038858 (Indiana) | Secondary |
| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 01038858 (Indiana) | 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. Dr Neil William Wangstrom 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 Neil William Wangstrom, MD
Po Box 1690,
La Porte, IN 46352-1690
Ph: (219) 326-2312 | Dr Neil William Wangstrom, MD
304 Detroit St,
La Porte, IN 46350-2497
Ph: (219) 325-3770 |
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