Mr Matthew David Wagaman, MD - Medicare Anesthesiology in Provo, UT

Mr Matthew David Wagaman, MD is a medicare enrolled "Anesthesiology" physician in Provo, Utah. He went to University Of Michigan Medical School and graduated in 2010 and has 14 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Mountain West Anesthesia Llc and his current practice location is 1034 N 500 W, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 357-7850.

Mr Matthew David Wagaman is licensed to practice in Utah (license number 9395169-1205) 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 1083906952.

Contact Information

Mr Matthew David Wagaman, MD
1034 N 500 W,
Provo, UT 84604-3380
(801) 357-7850
(770) 701-6675



Physician's Profile

Full NameMr Matthew David Wagaman
GenderMale
SpecialityAnesthesiology
Experience14 Years
Location1034 N 500 W, Provo, Utah
Accepts Medicare AssignmentsYes. 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 Matthew David Wagaman attended and graduated from University Of Michigan Medical School in 2010
  NPI Data:
  • NPI Number: 1083906952
  • Provider Enumeration Date: 05/10/2011
  • Last Update Date: 02/27/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7012134968
  • Enrollment ID: I20150622002519

Medical Identifiers

Medical identifiers for Mr Matthew David Wagaman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083906952NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 4301096041 (Michigan)Secondary
207L00000XAnesthesiology 9395169-1205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Utah Valley HospitalProvo, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mountain West Anesthesia Llc9032018502248

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Matthew David Wagaman allows following entities to bill medicare on his behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629260880
PECOS PAC ID: 1850209420
Enrollment ID: O20031105000079

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Entity NameMountain West Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558391763
PECOS PAC ID: 9032018502
Enrollment ID: O20040103000057

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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. Mr Matthew David Wagaman 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
Mr Matthew David Wagaman, MD
Po Box 3570,
Salt Lake City, UT 84110-3570

Ph: (801) 727-2056
Mr Matthew David Wagaman, MD
1034 N 500 W,
Provo, UT 84604-3380

Ph: (801) 357-7850

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Anesthesiology Doctors in Provo, UT

Dr. Daniel Rey Faber, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 280 River Park Dr, #200, Provo, UT 84604
Phone: 801-223-4860    Fax: 801-371-8993
John B Zimmerman, MD
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604
Phone: 801-507-5248    Fax: 801-733-5618
David Groesbeck, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604
Phone: 801-507-5248    Fax: 801-733-5618
Carl Thayne Wilson, MD
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604
Phone: 801-507-5248    Fax: 801-733-5618
Mitchell D Albrecht, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1034 N 500 W, Provo, UT 84004
Phone: 801-993-9582    Fax: 801-733-5618
Mark Critchfield, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604
Phone: 801-507-5248    Fax: 801-733-5618

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