William W Wagnon Md Pa is a medicare enrolled "Ophthalmology" provider in Lufkin, Texas. Their current practice location is
2801 S John Redditt Dr, Suite B, Lufkin, Texas. You can reach out to their office (for appointments etc.) via phone at
(936) 632-6111.
William W Wagnon Md Pa is licensed to practice in Texas (license number F2087) and it also participates in the medicare program. William W Wagnon Md Pa
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1619192192.
Healthcare Provider's Profile
Full Name | William W Wagnon Md Pa |
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Type | Facility |
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Speciality | Ophthalmology |
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Location | 2801 S John Redditt Dr, Lufkin, Texas |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619192192
- Provider Enumeration Date: 04/17/2007
- Last Update Date: 03/17/2015
Medicare PECOS Information:
- PECOS PAC ID: 3375717663
- Enrollment ID: O20111123000198
Medical Identifiers
Medical identifiers for William W Wagnon Md Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619192192 | NPI | - | NPPES |
093898701 | Medicaid | TX | |
1902895345 | Other | TX | NPI TYPE I |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 8596-TG (Texas) | Secondary |
207W00000X | Ophthalmology | F2087 (Texas) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
William W Wagnon Md Pa acts as a billing entity for following providers:
Provider Name | William Wright Wagnon |
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Provider Type | Practitioner - Ophthalmology |
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Provider Identifiers | NPI Number: 1902895345 PECOS PAC ID: 4284808577 Enrollment ID: I20111129000517 |
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Provider Name | Timothy J Mason |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1992703573 PECOS PAC ID: 2264427616 Enrollment ID: I20150204001686 |
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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. William W Wagnon Md Pa 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 |
William W Wagnon Md Pa 2801 S John Redditt Dr, Suite B, Lufkin, TX 75904-5666 Ph: (936) 632-6111 | William W Wagnon Md Pa 2801 S John Redditt Dr, Suite B, Lufkin, TX 75904-5666 Ph: (936) 632-6111 |
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