Mr Alan Duane Wagner, CRNA - Medicare Nurse Anesthetist, Certified Registered in Carbondale, IL

Mr Alan Duane Wagner, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Carbondale, Illinois. His current practice location is 405 W Jackson St, Carbondale, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 549-0721.

Mr Alan Duane Wagner is licensed to practice in Illinois (license number ) 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 1881686244.

Contact Information

Mr Alan Duane Wagner, CRNA
405 W Jackson St,
Carbondale, IL 62901-1462
(618) 549-0721
Not Available



Provider's Profile

Full NameMr Alan Duane Wagner
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location405 W Jackson St, Carbondale, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1881686244
  • Provider Enumeration Date: 08/22/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8820060874
  • Enrollment ID: I20040810000793

Medical Identifiers

Medical identifiers for Mr Alan Duane Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881686244NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered (Illinois)Primary

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 Alan Duane Wagner allows following entities to bill medicare on his behalf.
Entity NameSouthern Illinois Medical Services Nfp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770656837
PECOS PAC ID: 3678677390
Enrollment ID: O20070404000595

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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 Alan Duane 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
Mr Alan Duane Wagner, CRNA
35 Albany Rd, Suite C,
Carbondale, IL 62903-7605

Ph: (618) 457-5111
Mr Alan Duane Wagner, CRNA
405 W Jackson St,
Carbondale, IL 62901-1462

Ph: (618) 549-0721

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Nurse Anesthetist, Certified Registered Nurses in Carbondale, IL

Mr. Dan Edward Miller, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 405 W Jackson St, Carbondale, IL 62901
Phone: 618-549-0721    
Nathaniel C Crum, DNP
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 405 W Main St, Carbondale, IL 62901
Phone: 618-549-0721    Fax: 618-529-0449
Mr. Shawn Wayne Pyle, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 405 W Jackson St, Carbondale, IL 62901
Phone: 618-549-0721    Fax: 618-529-0449
Justin D Craft, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 405 W Jackson St, Carbondale, IL 62901
Phone: 618-549-0721    
Megan E Sims, DNP, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 405 W Jackson St, Carbondale, IL 62901
Phone: 618-549-0721    
Britley Ann White, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 405 W Jackson St, Sih Medical Group Anesthesiology, Carbondale, IL 62901
Phone: 618-549-0721    Fax: 618-529-0529
Ms. Christine Marie Dakin, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2601 W Main St, Carbondale, IL 62901
Phone: 618-549-5361    Fax: 618-549-5128

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