Dr Nikhil Sudhakar Wagle, MD is a medicare enrolled "Ophthalmology" physician in Rock Island, Illinois. He went to University Of Wisconsin School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Eye Surgeons Associates Pc, Eye Surgeons Associates Pc and his current practice location is
4731 45th Street Ct, Rock Island, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 793-2020.
Dr Nikhil Sudhakar Wagle is licensed to practice in Illinois (license number 036-100181) 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 1003893454.
Physician's Profile
| Full Name | Dr Nikhil Sudhakar Wagle |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 30 Years |
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| Location | 4731 45th Street Ct, Rock Island, 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 Nikhil Sudhakar Wagle attended and graduated from University Of Wisconsin School Of Medicine in 1994
NPI Data:
- NPI Number: 1003893454
- Provider Enumeration Date: 12/28/2005
- Last Update Date: 03/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 0547160475
- Enrollment ID: I20050601001052
Medical Identifiers
Medical identifiers for Dr Nikhil Sudhakar Wagle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003893454 | NPI | - | NPPES |
| 0060350 | Other | IA | IA GROUP MEDICAID |
| 26568 | Other | IA | IA GROUP MEDICARE |
| 790730 | Other | IL | IL GROUP MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | 33115 (Iowa) | Secondary |
| 207WX0009X | Ophthalmology - Glaucoma Specialist | 036-100181 (Illinois) | Secondary |
| 207WX0009X | Ophthalmology - Glaucoma Specialist | 33115 (Iowa) | Secondary |
| 207W00000X | Ophthalmology | 036-100181 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Eye Surgeons Associates Pc | 4183521206 | 18 |
| Eye Surgeons Associates Pc | 4183521206 | 18 |
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 Nikhil Sudhakar Wagle allows following entities to bill medicare on his behalf.
| Entity Name | Eye Surgeons Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386607562
PECOS PAC ID: 4183521206
Enrollment ID: O20050525000435 |
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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 Nikhil Sudhakar Wagle 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 Nikhil Sudhakar Wagle, MD
777 Tanglefoot Ln,
Bettendorf, IA 52722-1650
Ph: (563) 323-2020 | Dr Nikhil Sudhakar Wagle, MD
4731 45th Street Ct,
Rock Island, IL 61201-7102
Ph: (309) 793-2020 |
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