James Allen Wagner, DO | |
300 S Byron Blvd, Chamberlain, SD 57325-9741 | |
(605) 234-6551 | |
(605) 234-7260 |
Full Name | James Allen Wagner |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 18 Years |
Location | 300 S Byron Blvd, Chamberlain, South Dakota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528239860 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 4566 (Oklahoma) | Secondary |
207V00000X | Obstetrics & Gynecology | 8133 (South Dakota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rural Health Care Inc | 3476447541 | 133 |
Avera Queen Of Peace | 9335050806 | 89 |
Entity Name | Avera Queen Of Peace |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205359031 PECOS PAC ID: 9335050806 Enrollment ID: O20031229000301 |
Entity Name | Rural Health Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720076441 PECOS PAC ID: 3476447541 Enrollment ID: O20040210000648 |
Entity Name | Avera Queen Of Peace |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1992466635 PECOS PAC ID: 9335050806 Enrollment ID: O20220301001771 |
Mailing Address | Practice Location Address |
---|---|
James Allen Wagner, DO Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-6585 | James Allen Wagner, DO 300 S Byron Blvd, Chamberlain, SD 57325-9741 Ph: (605) 234-6551 |
Cynthia L Davis, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 300 S Byron Blvd, Chamberlain, SD 57325 Phone: 605-234-6551 Fax: 605-234-7260 | |
Patricia Giebink, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 300 S Byron Blvd, Chamberlain, SD 57325 Phone: 605-234-6551 Fax: 605-234-7260 | |
Tiffany Washechek, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 300 S Byron Blvd, Chamberlain, SD 57325 Phone: 605-234-6551 Fax: 605-234-7260 |