Keith Waggoner, MD - Medicare Emergency Medicine in Parkersburg, WV

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Keith Waggoner, MD is a medicare enrolled "Emergency Medicine" physician in Parkersburg, West Virginia. His current practice location is 1824 Murdoch Ave, Parkersburg, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 424-4111.

Keith Waggoner is licensed to practice in West Virginia (license number 18247) 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 1225015050.

Contact Information

Keith Waggoner, MD
1824 Murdoch Ave,
Parkersburg, WV 26101-3230
(304) 424-4111
(330) 656-5901

Map and Direction




Physician's Profile

Full NameKeith Waggoner
GenderMale
SpecialityEmergency Medicine
Location1824 Murdoch Ave, Parkersburg, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225015050
  • Provider Enumeration Date: 12/22/2005
  • Last Update Date: 06/12/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 5991774556
  • Enrollment ID: I20120508000729

Medical Identifiers

Medical identifiers for Keith Waggoner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225015050NPI-NPPES
0046291000MedicaidWV
1060095OtherWVWV DWC
000428862OtherWVBC/BS
0168152MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 18247 (West Virginia)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. Keith Waggoner allows following entities to bill medicare on his behalf.
Entity NameUniversity Emergency Specialists Of Bedford Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760434781
PECOS PAC ID: 2466357801
Enrollment ID: O20031126000765
Entity NamePhysicians Link Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235172925
PECOS PAC ID: 8527969492
Enrollment ID: O20040405000838
Entity NameUes Richmond Heights Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568414613
PECOS PAC ID: 8224057047
Enrollment ID: O20051122000004
Entity NameUes Geauga, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841242997
PECOS PAC ID: 6406876002
Enrollment ID: O20051128000779
Entity NameUniversity Emergency Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033454483
PECOS PAC ID: 4587807854
Enrollment ID: O20130905000711
Entity NameUes Geneva Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689919029
PECOS PAC ID: 4789827064
Enrollment ID: O20130905000813
Entity NameUes Ahuja Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467883934
PECOS PAC ID: 5496985467
Enrollment ID: O20140313001425
Entity NameMagis Emergency Medicine, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801287511
PECOS PAC ID: 2769700392
Enrollment ID: O20150410002555

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. Keith Waggoner 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
Keith Waggoner, MD
5700 Darrow Rd, Suite 106,
Hudson, OH 44236-5021

Ph: (330) 656-5911		Keith Waggoner, MD
1824 Murdoch Ave,
Parkersburg, WV 26101-3230

Ph: (304) 424-4111

Reviews and Comments


Emergency Medicine Doctors in Parkersburg, WV

Dr. Michael M Dickerson, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 800 Garfield Ave, Healing Center At Ccmh, Parkersburg, WV 26101
Phone: 304-424-2228    Fax: 304-420-7128
Wayne B Cayton Jr., MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 800 Garfield Ave, Parkersburg, WV 26101
Phone: 304-424-2111    Fax: 904-346-0113
Ethan Westbrook, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 800 Garfield Ave Rm G102, Parkersburg, WV 26101
Phone: 304-424-4575    Fax: 304-424-4577
Dr. Andrew Christian Retzinger, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 800 Garfield Ave, Parkersburg, WV 26101
Phone: 304-424-2111    
Dr. Joseph Lantz, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 800 Garfield Ave, Parkersburg, WV 26101
Phone: 304-488-9093    
Brian K Richardson, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 800 Garfield Ave, Parkersburg, WV 26101
Phone: 304-424-2111    Fax: 904-346-0113

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.