Tommy W Wagner, MD is a medicare enrolled "Family Medicine" physician in Manila, Arkansas. His current practice location is
3644 W St Hwy 18, Manila, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 561-3300.
Tommy W Wagner is licensed to practice in Arkansas (license number E3873) 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 1952385064.
Physician's Profile
Full Name | Tommy W Wagner |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 3644 W St Hwy 18, Manila, Arkansas |
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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:
- Tommy W Wagner attended and graduated from in
NPI Data:
- NPI Number: 1952385064
- Provider Enumeration Date: 12/01/2005
- Last Update Date: 02/20/2014
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Tommy W Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952385064 | NPI | - | NPPES |
156106001 | Medicaid | AR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | E3873 (Arkansas) | Primary |
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. Tommy W 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 Address | Practice Location Address |
Tommy W Wagner, MD Po Box 910, Manila, AR 72442 Ph: (870) 561-3300 | Tommy W Wagner, MD 3644 W St Hwy 18, Manila, AR 72442 Ph: (870) 561-3300 |
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