Wagner Medical Clinic - Medicare Primary Care in Manila, AR

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Wagner Medical Clinic is a medicare enrolled primary clinic (Family Medicine) in Manila, Arkansas. The current practice location for Wagner Medical Clinic is 3644 W State Highway 18, Manila, Arkansas. For appointments, you can reach them via phone at (870) 561-3300. The mailing address for Wagner Medical Clinic is Po Box 910, Manila, Arkansas and phone number is (870) 561-3300.

Wagner Medical Clinic is licensed to practice in Arkansas (license number E3873). The clinic also participates in the medicare program and its NPI number is 1720183031. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (870) 561-3300.

Contact Information

Wagner Medical Clinic
3644 W State Highway 18
Manila
AR 72442-8049
(870) 561-3300
(870) 561-3307

Map and Direction


Primary Care Clinic Profile

Full NameWagner Medical Clinic
SpecialityFamily Medicine
Location3644 W State Highway 18, Manila, Arkansas
Authorized Official Name and PositionTommy W Wagner (OWNER)
Authorized Official Contact8705613300
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Wagner Medical Clinic
Po Box 910
Manila
AR 72442-0910

Ph: (870) 561-3300		Wagner Medical Clinic
3644 W State Highway 18
Manila
AR 72442-8049

Ph: (870) 561-3300

NPI Details:

NPI Number1720183031
Provider Enumeration Date09/13/2006
Last Update Date07/22/2016

Medicare PECOS Information:

Medicare PECOS PAC ID1153359096
Medicare Enrollment IDO20050830000950

Medical Identifiers

Medical identifiers for Wagner Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720183031NPI-NPPES
156106001MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine E3873 (Arkansas)Primary
363LF0000XNurse Practitioner - Family A01771 (Arkansas)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Wagner Medical Clinic acts as a billing entity for following providers:
Provider NameTommy Wayne Wagner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1952385064
PECOS PAC ID: 2264422195
Enrollment ID: I20040513000982
Provider NameKristi Statler
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639136609
PECOS PAC ID: 6204810773
Enrollment ID: I20040614001504
Provider NameDanna Scott Deaton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578667010
PECOS PAC ID: 0840267415
Enrollment ID: I20040913001412
Provider NameKristy Lynn Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134143472
PECOS PAC ID: 0345208815
Enrollment ID: I20041230000119
Provider NameHeather L Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982671699
PECOS PAC ID: 5395784151
Enrollment ID: I20050430000066
Provider NameLacey Diane Poe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205069630
PECOS PAC ID: 3476609777
Enrollment ID: I20090928000401
Provider NameVictoria L Gamble
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629201710
PECOS PAC ID: 3375689680
Enrollment ID: I20090929000679
Provider NameKatherine A Gurley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144563073
PECOS PAC ID: 4486898848
Enrollment ID: I20130925000263
Provider NameRegina A Strop
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356793905
PECOS PAC ID: 5193019560
Enrollment ID: I20160808001225
Provider NameBrittany R Rose
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326566357
PECOS PAC ID: 2860758208
Enrollment ID: I20171117001212
Provider NameMorgan Bliss Noble
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285244178
PECOS PAC ID: 3577982552
Enrollment ID: I20200924000452
Provider NameTaylor S Long
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326655416
PECOS PAC ID: 5294147294
Enrollment ID: I20201216001318
Provider NameKarley Sexton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114520491
PECOS PAC ID: 6103228291
Enrollment ID: I20210712004087

Reviews and Comments


Family Medicine in Manila, AR

Shaneyfelt Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 105 S. Baltimore, Manila, AR 72442
Phone: 870-561-4421    Fax: 870-561-3434
T W Wagner Inc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 3644 W State Highway 18, Manila, AR 72442
Phone: 870-561-3300    Fax: 870-561-3307

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.