Mr William Wallace Waggoner, PT in West Lafayette, IN

Mr William Wallace Waggoner, PT is a medicare enrolled "Physical Therapist" provider in West Lafayette, Indiana. His current practice location is 500 Sagamore Pkwy W Ste 2w, West Lafayette, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 250-9660.

Mr William Wallace Waggoner is licensed to practice in Indiana (license number 05006050A) 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 1255368049.

Contact Information

	Mr William Wallace Waggoner, PT
	500 Sagamore Pkwy W Ste 2w, West Lafayette, IN 47906-1459
	(765) 250-9660
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr William Wallace Waggoner
Gender	Male
Speciality
Experience	Years
Location	500 Sagamore Pkwy W Ste 2w, West Lafayette, 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:

Mr William Wallace Waggoner attended and graduated from in

NPI Data:

NPI Number: 1255368049
Provider Enumeration Date: 06/27/2006
Last Update Date: 02/05/2025

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Mr William Wallace Waggoner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255368049	NPI	-	NPPES
000000527519	Other	IN	ANTHEM PROVIDER NUMBER
200307360	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	05006050A (Indiana)	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. Mr William Wallace 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 Address	Practice Location Address
Mr William Wallace Waggoner, PT 33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258 Ph: (586) 350-2644	Mr William Wallace Waggoner, PT 500 Sagamore Pkwy W Ste 2w, West Lafayette, IN 47906-1459 Ph: (765) 250-9660

Reviews and Comments

Physical Therapist in West Lafayette, IN

Jessica Stipp, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 Lindberg Rd, West Lafayette, IN 47906 Phone: 765-464-5600
Randous Bowens, Physical Therapist Medicare: Medicare Enrolled Practice Location: 257 Sagamore Pkwy W, Suite 230, West Lafayette, IN 47906 Phone: 765-463-2200
Lawrence Dantae Robertson, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2136 Cumulus Ct, West Lafayette, IN 47906 Phone: 706-267-9773
Kirstin Lestinsky, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1044 Sagamore Pkwy W Unit A, West Lafayette, IN 47906 Phone: 765-250-4445
Rachel Wichlinski, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2741 N Salisbury St, West Lafayette, IN 47906 Phone: 765-463-7546
Garrett R Buechler, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1044 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-250-4445 Fax: 765-463-7664
Kirsten Zambon, PT, DPT, CLT Physical Therapist Medicare: Medicare Enrolled Practice Location: 909 Sagamore Pkwy W Ste 917, West Lafayette, IN 47906 Phone: 765-463-0710 Fax: 765-463-0711

Mr William Wallace Waggoner, PT - Medicare Physical Therapist in West Lafayette, IN