Mr Richard K Waggoner, PA-C - Physician Assistant in Grand Island, NE

Mr Richard K Waggoner, PA-C is a Physician Assistant based in Grand Island, Nebraska. Mr Richard K Waggoner is licensed to practice in Nebraska (license number 342000) and his current practice location is 2116 W Faidley Ave, Ste 400, Grand Island, Nebraska. He can be reached at his office (for appointments etc.) via phone at (308) 381-0162.

NPI number for Mr Richard K Waggoner is 1386698835 and his current mailing address is 2116 W Faidley Ave, Ste 400, Grand Island, Nebraska. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386698835.

Contact Information

Mr Richard K Waggoner, PA-C
2116 W Faidley Ave, Ste 400,
Grand Island, NE 68803-4671
(308) 381-0162
(308) 389-4445



Provider's Profile

Full NameMr Richard K Waggoner
GenderMale
SpecialityPhysician Assistant
Location2116 W Faidley Ave, Grand Island, Nebraska
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1386698835
  • Provider Enumeration Date: 05/20/2006
  • Last Update Date: 03/07/2023

Medical Identifiers

Medical identifiers for Mr Richard K Waggoner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386698835NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 342000 (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. Mr Richard K Waggoner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Richard K Waggoner, PA-C
2116 W Faidley Ave, Ste 400,
Grand Island, NE 68803-4671

Ph: (308) 381-0162
Mr Richard K Waggoner, PA-C
2116 W Faidley Ave, Ste 400,
Grand Island, NE 68803-4671

Ph: (308) 381-0162

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Physician Assistant Nurses in Grand Island, NE

Keri Anania, P.A.
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 112 W 2nd St Ste 3, Grand Island, NE 68801
Phone: 308-390-2663    Fax: 308-365-1315
Laura A Fox, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 418 N Webb Rd, Grand Island, NE 68803
Phone: 308-384-9300    Fax: 308-384-4542
Mr. Richard Charles Treadway Sr., PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2201 N Broadwell Ave, Nwivahcs, Grand Island, NE 68803
Phone: 308-382-3660    
Mrs. Chelsie N. Doane, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3515 Richmond Cir, Grand Island, NE 68803
Phone: 308-381-8636    Fax: 308-381-8622
Holly Nichole Solt, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2444 W Faidley Ave, Grand Island, NE 68803
Phone: 308-382-1100    
Sara G Fill, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2116 W Faidley Ave, Grand Island, NE 68803
Phone: 308-398-5560    Fax: 308-398-5306
Jason R Hadenfeldt, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 620 N Diers Ave Ste 200, Grand Island, NE 68803
Phone: 308-384-5400    Fax: 308-384-5201

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