Tommy W Wagner, MD in Manila, AR - Medicare Family Practice

Tommy W Wagner, MD is a medicare enrolled "Family Medicine" physician in Manila, Arkansas. He went to University Of Arkansas College Of Medicine and graduated in 2002 and has 23 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice T W Wagner Inc and 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.

Contact Information

	Tommy W Wagner, MD
	3644 W St Hwy 18, Manila, AR 72442
	(870) 561-3300
	(870) 561-3307

Map and Direction

Physician's Profile

Full Name	Tommy W Wagner
Gender	Male
Speciality	Family Practice
Experience	23 Years
Location	3644 W St Hwy 18, Manila, Arkansas
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 University Of Arkansas College Of Medicine in 2002

NPI Data:

NPI Number: 1952385064
Provider Enumeration Date: 12/01/2005
Last Update Date: 02/20/2014

Medicare PECOS Information:

PECOS PAC ID: 2264422195
Enrollment ID: I20040513000982

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

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Bernards Medical Center	Jonesboro, AR	Hospital
Great River Medical Center	Blytheville, AR	Hospital
Baptist Memorial Hospital Jonesboro, Inc.	Jonesboro, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
T W Wagner Inc	1153359096	6

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. Tommy W Wagner allows following entities to bill medicare on his behalf.

Entity Name	T W Wagner Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720183031 PECOS PAC ID: 1153359096 Enrollment ID: O20050830000950

Entity Name	Riverside Medical Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811206923 PECOS PAC ID: 5597944157 Enrollment ID: O20110127001167

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

Tommy W Wagner, MD - Medicare Family Practice in Manila, AR