Dr Connor Wagner, MD - Medicare Family Medicine in Jbsa Lackland, TX

Dr Connor Wagner, MD is a medicare enrolled "Family Medicine" physician in Jbsa Lackland, Texas. His current practice location is 1100 Wilford Hall Loop, Jbsa Lackland, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 292-0515.

Dr Connor Wagner is licensed to practice in Nebraska (license number 34103) 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 1619593407.

Contact Information

Dr Connor Wagner, MD
1100 Wilford Hall Loop,
Jbsa Lackland, TX 78236-5638
(210) 292-0515
Not Available



Physician's Profile

Full NameDr Connor Wagner
GenderMale
SpecialityFamily Medicine
Location1100 Wilford Hall Loop, Jbsa Lackland, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619593407
  • Provider Enumeration Date: 06/17/2020
  • Last Update Date: 08/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7113346149
  • Enrollment ID: I20200924001957

Medical Identifiers

Medical identifiers for Dr Connor Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619593407NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 34103 (Nebraska)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 Connor 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 AddressPractice Location Address
Dr Connor Wagner, MD
1940 Carswell Ave Bldg 7002,
Jbsa Lackland, TX 78236-5514

Ph: (210) 292-0515
Dr Connor Wagner, MD
1100 Wilford Hall Loop,
Jbsa Lackland, TX 78236-5638

Ph: (210) 292-0515

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Family Medicine Doctors in Jbsa Lackland, TX

Dr. Scott Warren Monroe, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236
Phone: 210-292-6225    
Nicholas Holland, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236
Phone: 210-292-2003    
Dr. Wesley William Carr, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236
Phone: 618-233-7880    
Dr. Gary William D'orazio, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236
Phone: 210-671-9893    
Dr. Charles Ray Fisher Jr., M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236
Phone: 210-671-4516    
Shannon Foster, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236
Phone: 210-292-3333    
Dr. Dixon Lorenzo Christian, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236
Phone: 210-292-7331    

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