Kayelyn J Wagner, MD - Medicare Pediatrics in Sioux Falls, SD

Kayelyn J Wagner, MD is a medicare enrolled "Pediatrics - Pediatric Hematology-oncology" physician in Sioux Falls, South Dakota. Her current practice location is 1600 W 22nd St, Sioux Falls, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 312-1000.

Kayelyn J Wagner is licensed to practice in South Dakota (license number 7508) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043429087.

Contact Information

Kayelyn J Wagner, MD
1600 W 22nd St,
Sioux Falls, SD 57105-1521
(605) 312-1000
(605) 312-1001



Physician's Profile

Full NameKayelyn J Wagner
GenderFemale
SpecialityPediatrics - Pediatric Hematology-oncology
Location1600 W 22nd St, Sioux Falls, South Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043429087
  • Provider Enumeration Date: 05/22/2007
  • Last Update Date: 03/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5991850620
  • Enrollment ID: I20090902000351

Medical Identifiers

Medical identifiers for Kayelyn J Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043429087NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0207XPediatrics - Pediatric Hematology-oncology 7508 (South Dakota)Primary
2080P0207XPediatrics - Pediatric Hematology-oncology R-7702 (Iowa)Secondary

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. Kayelyn J Wagner allows following entities to bill medicare on her behalf.
Entity NameSanford Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396764254
PECOS PAC ID: 0244143824
Enrollment ID: O20031110000532

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Entity NameSanford Health Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790721280
PECOS PAC ID: 6800707100
Enrollment ID: O20031111000266

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Entity NameSanford Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821017880
PECOS PAC ID: 8325950215
Enrollment ID: O20040115000388

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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. Kayelyn 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 AddressPractice Location Address
Kayelyn J Wagner, MD
Po Box 5074,
Sioux Falls, SD 57117-5074

Ph: (605) 328-6585
Kayelyn J Wagner, MD
1600 W 22nd St,
Sioux Falls, SD 57105-1521

Ph: (605) 312-1000

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Pediatrics Doctors in Sioux Falls, SD

Dr. Shari L Eich, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2100 S Marion Rd, Sioux Falls, SD 57106
Phone: 605-322-1010    Fax: 605-322-1011
Michael Elliott, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1200 S 7th Ave, Ste 2, Sioux Falls, SD 57105
Phone: 605-336-2140    
Brock J Doubledee, D.O.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1600 W 22nd, Sioux Falls, SD 57105
Phone: 605-312-1000    Fax: 605-312-1001
Katherine Wang, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1325 S Cliff Ave, Sioux Falls, SD 57105
Phone: 605-322-4425    Fax: 605-322-4499
Gulsah Olgun, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1205 S Grange Ave Ste 307, Sioux Falls, SD 57105
Phone: 605-328-7800    Fax: 605-328-7899
Mrs. Katie Elizabeth Larson, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1205 S Grange Ave, Suite 307, Sioux Falls, SD 57105
Phone: 605-328-7800    Fax: 605-328-7899

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