Theodore T Wagner Iii, MD in Fort Wayne, IN

Theodore T Wagner Iii, MD is a medicare enrolled "Urology" physician in Fort Wayne, Indiana. He went to Ohio State University College Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Urology. He is a member of the group practice Parkview Health System Inc and his current practice location is 11141 Parkview Plaza Dr Ste 325, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 425-5400.

Theodore T Wagner Iii is licensed to practice in Indiana (license number 01050471A) 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 1831162791.

Contact Information

	Theodore T Wagner Iii, MD
	11141 Parkview Plaza Dr Ste 325, Fort Wayne, IN 46845-1714
	(260) 425-5400
	(260) 425-5417

Map and Direction

Physician's Profile

Full Name	Theodore T Wagner Iii
Gender	Male
Speciality	Urology
Experience	30 Years
Location	11141 Parkview Plaza Dr Ste 325, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Theodore T Wagner Iii attended and graduated from Ohio State University College Of Medicine in 1994

NPI Data:

NPI Number: 1831162791
Provider Enumeration Date: 02/10/2006
Last Update Date: 03/21/2023

Medicare PECOS Information:

PECOS PAC ID: 5092611632
Enrollment ID: I20031217000099

Medical Identifiers

Medical identifiers for Theodore T Wagner Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831162791	NPI	-	NPPES
100081380	Medicaid	IN
0748972	Medicaid	OH
000000087512	Other	IN	ANTHEM BC/BS
200245650	Medicaid	IN
2568556	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	01050471A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Parkview Regional Medical Center	Fort wayne, IN	Hospital
Adams Memorial Hospital	Decatur, IN	Hospital
Bluffton Regional Medical Center	Bluffton, IN	Hospital
Parkview Huntington Hospital	Huntington, IN	Hospital
Parkview Whitley Hospital	Columbia city, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Parkview Health System Inc	2163336967	1192

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. Theodore T Wagner Iii allows following entities to bill medicare on his behalf.

Entity Name	Parkview Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288

Entity Name	Northeast Indiana Urology. P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619920295 PECOS PAC ID: 5395641914 Enrollment ID: O20031212000174

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. Theodore T Wagner Iii 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
Theodore T Wagner Iii, MD 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () -	Theodore T Wagner Iii, MD 11141 Parkview Plaza Dr Ste 325, Fort Wayne, IN 46845-1714 Ph: (260) 425-5400

Reviews and Comments

Urology Doctors in Fort Wayne, IN

Claire Aubrey, D.O Urology Medicare: Accepting Medicare Assignments Practice Location: 2512 E Dupont Rd Ste 110, Fort Wayne, IN 46825 Phone: 260-458-3045 Fax: 260-479-2947
Dr. Sable Paige Locke, M.D. Urology Medicare: Medicare Enrolled Practice Location: 11141 Parkview Plaza Dr Ste 320, Fort Wayne, IN 46845 Phone: 260-425-5400 Fax: 260-425-5417
Nicholai Ian Kiehl, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 11141 Parkview Plaza Dr, Suite 320, Fort Wayne, IN 46845 Phone: 260-482-8681 Fax: 260-266-9240
Dr. Christopher J Keto, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 205b, Fort Wayne, IN 46804 Phone: 260-458-3460 Fax: 260-458-3461
Michael Rudoff, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 2512 E Dupont Rd Ste 110, Fort Wayne, IN 46825 Phone: 260-458-3045 Fax: 260-479-2947
David L Pollifrone, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 325, Fort Wayne, IN 46845 Phone: 260-425-5400 Fax: 260-425-5417
George W. Bowers, Urology Medicare: Not Enrolled in Medicare Practice Location: 12002 Haddington Court, Fort Wayne, IN 46814 Phone: 260-625-3872 Fax: 260-524-5390

Theodore T Wagner Iii, MD - Medicare Urology in Fort Wayne, IN