Mr Rodger Keith Wagoner, PA-C - Medicare Physician Assistant in Albany, GA

Mr Rodger Keith Wagoner, PA-C is a medicare enrolled "Physician Assistant" in Albany, Georgia. His current practice location is 2405 Osler Ct, Albany, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 435-1458.

Mr Rodger Keith Wagoner is licensed to practice in Georgia (license number 006662) 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 1194079657.

Contact Information

Mr Rodger Keith Wagoner, PA-C
2405 Osler Ct,
Albany, GA 31707-0214
(229) 435-1458
(229) 317-2342



Provider's Profile

Full NameMr Rodger Keith Wagoner
GenderMale
SpecialityPhysician Assistant
Location2405 Osler Ct, Albany, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194079657
  • Provider Enumeration Date: 11/06/2012
  • Last Update Date: 02/12/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6204072572
  • Enrollment ID: I20130412000076

Medical Identifiers

Medical identifiers for Mr Rodger Keith Wagoner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194079657NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 006662 (Georgia)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 Rodger Keith Wagoner 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 Rodger Keith Wagoner, PA-C
Po Box 70969,
Albany, GA 31708-0969

Ph: (229) 435-1458
Mr Rodger Keith Wagoner, PA-C
2405 Osler Ct,
Albany, GA 31707-0214

Ph: (229) 435-1458

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Physician Assistant Nurses in Albany, GA

Kenna W Wiles, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1009 N Monroe St, Albany, GA 31701
Phone: 229-883-0298    Fax: 229-438-7898
John A Dennis, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1200 N Jefferson St, Albany, GA 31701
Phone: 229-888-3970    Fax: 229-888-7771
Mrs. Lindsay Tompkins Carr, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2405 Osler Ct, Albany, GA 31707
Phone: 229-435-1458    
Jayme Crawford, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 417 W 3rd Ave, Albany, GA 31701
Phone: 229-312-1000    
Mr. Stephen Wayne Stocking, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 804 13th Ave, Albany, GA 31701
Phone: 229-438-5864    Fax: 229-438-1004
Mr. Kevin K Bush, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2709 Meredyth Dr, Suite 340, Albany, GA 31707
Phone: 229-883-1130    Fax: 229-883-1153
Dan C West, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 605 N Westover Blvd, Albany, GA 31707
Phone: 229-434-4200    Fax: 229-434-4208

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