James S Wagenaar, DO is a medicare enrolled "Emergency Medicine" physician in Ironton, Ohio. His current practice location is
1408 Campbell Dr, Ironton, Ohio. You can reach out to his office (for appointments etc.) via phone at
(740) 533-9710.
James S Wagenaar is licensed to practice in Ohio (license number 34005359) 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 1194768754.
Physician's Profile
| Full Name | James S Wagenaar |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 1408 Campbell Dr, Ironton, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1194768754
- Provider Enumeration Date: 06/13/2006
- Last Update Date: 10/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 5890793921
- Enrollment ID: I20061127000334
Medical Identifiers
Medical identifiers for James S Wagenaar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194768754 | NPI | - | NPPES |
| 000000493481 | Other | | ANTHEM BCBS |
| 000702618 | Other | | MOUNTAIN STATE BCBS |
| 000000210197 | Other | OH | OH MEDICAID UNISON |
| 310917085154 | Other | OH | OH MEDICAID CARESOURCE |
| 0043615000 | Medicaid | WV | |
| 0843529 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 34005359 (Ohio) | Primary |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 34005359 (Ohio) | Secondary |
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. James S Wagenaar allows following entities to bill medicare on his behalf.
| Entity Name | Ohio Emergency Professionals Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982983425
PECOS PAC ID: 0547433328
Enrollment ID: O20111024000785 |
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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. James S Wagenaar 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 |
|---|
James S Wagenaar, DO
1408 Campbell Dr,
Ironton, OH 45638-2301
Ph: (740) 533-9710 | James S Wagenaar, DO
1408 Campbell Dr,
Ironton, OH 45638-2301
Ph: (740) 533-9710 |
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