Dr Roy Marshall Wagner, DO - Medicare Family Medicine in O Fallon, IL

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Dr Roy Marshall Wagner, DO is a medicare enrolled "Family Medicine" physician in O Fallon, Illinois. His current practice location is 3 Saint Elizabeth Blvd Ste 4000, O Fallon, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 233-7880.

Dr Roy Marshall Wagner is licensed to practice in Illinois (license number 036164627) 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 1477187383.

Contact Information

Dr Roy Marshall Wagner, DO
3 Saint Elizabeth Blvd Ste 4000,
O Fallon, IL 62269
(618) 233-7880
(618) 222-4792

Map and Direction




Physician's Profile

Full NameDr Roy Marshall Wagner
GenderMale
SpecialityFamily Medicine
Location3 Saint Elizabeth Blvd Ste 4000, O Fallon, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477187383
  • Provider Enumeration Date: 02/29/2020
  • Last Update Date: 11/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4385061977
  • Enrollment ID: I20231012003079

Medical Identifiers

Medical identifiers for Dr Roy Marshall Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477187383NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036164627 (Illinois)Primary

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 Roy Marshall Wagner allows following entities to bill medicare on his behalf.
Entity NameSouthern Illinois Healthcare Foundation, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013198712
PECOS PAC ID: 1456256874
Enrollment ID: O20031126000641

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 Roy Marshall Wagner 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 AddressPractice Location Address
Dr Roy Marshall Wagner, DO
3 Saint Elizabeth Blvd Ste 4000,
O Fallon, IL 62269-1284

Ph: (618) 256-9355		Dr Roy Marshall Wagner, DO
3 Saint Elizabeth Blvd Ste 4000,
O Fallon, IL 62269

Ph: (618) 233-7880

Reviews and Comments


Family Medicine Doctors in O Fallon, IL

Dr. Noah M Cooperstein, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269
Phone: 618-256-7311    
Dr. Patrick Bloecher, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269
Phone: 618-233-7880    
Dr. Steven Allen Taylor, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1512 N Green Mount Rd Ste 108, O Fallon, IL 62269
Phone: 618-624-5510    Fax: 618-624-5529
Dr. Vincent Joseph Duenas, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269
Phone: 618-234-2120    
Dr. Jordan Kristopher Romick, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269
Phone: 618-233-5480    Fax: 618-222-4792
Rema Sanghavi, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1512 N Green Mount Rd Ste 108, O Fallon, IL 62269
Phone: 618-624-5510    Fax: 618-624-5529
Dr. Kevin L Pritchett, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 Springfield Ct, O Fallon, IL 62269
Phone: 618-632-3565    Fax: 618-632-7693

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.