Dr Wallace J Wagner, in Sioux City, IA - Medicare Chiropractor Provider

Dr Wallace J Wagner, is a medicare enrolled "Chiropractor" provider in Sioux City, Iowa. His current practice location is 1723 Grandview Blvd, Sioux City, Iowa. You can reach out to his office (for appointments etc.) via phone at (712) 258-1021.

Dr Wallace J Wagner is licensed to practice in Iowa (license number 04516) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275507089.

Contact Information

	Dr Wallace J Wagner,
	1723 Grandview Blvd, Sioux City, IA 51105-1116
	(712) 258-1021
	Not Available

Healthcare Provider's Profile

Full Name	Dr Wallace J Wagner
Gender	Male
Speciality	Chiropractor
Location	1723 Grandview Blvd, Sioux City, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275507089
Provider Enumeration Date: 02/16/2006
Last Update Date: 12/18/2013

Medicare PECOS Information:

PECOS PAC ID: 4082671862
Enrollment ID: I20041213001100

Medical Identifiers

Medical identifiers for Dr Wallace J Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275507089	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	04516 (Iowa)	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. Dr Wallace J 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
Dr Wallace J Wagner, 1723 Grandview Blvd, Sioux City, IA 51105-1116 Ph: (712) 258-1021	Dr Wallace J Wagner, 1723 Grandview Blvd, Sioux City, IA 51105-1116 Ph: (712) 258-1021

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Chiropractor in Sioux City, IA

Juan Pablo Munoz, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3206 Singing Hills Blvd, Sioux City, IA 51106 Phone: 712-301-7506
Adio Chiropractic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 833 Gordon Dr, Sioux City, IA 51101 Phone: 712-253-5184
Scott Dean Sneller, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3930 Stadium Dr, Sioux City, IA 51106 Phone: 712-276-4325 Fax: 712-276-6033
Dr. Christopher Manley, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4716 Morningside Ave, Sioux City, IA 51106 Phone: 712-276-0712 Fax: 712-276-0718
Thomas Alan Molstad Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1206 Morningside Ave, Sioux City, IA 51106 Phone: 712-276-7742
Lin L. Peterson D.c. P.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 824 Morningside Ave, Sioux City, IA 51106 Phone: 712-276-9700 Fax: 712-276-9409
Clifford J Meylor, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: Meylor Chiro Office, 2608 Hamilton Blvd, Sioux City, IA 51104 Phone: 712-255-5511 Fax: 712-277-1336

Dr Wallace J Wagner, - Medicare Chiropractor in Sioux City, IA