Mr Trent P Wagoner, CAA - Medicare Anesthesiology Assistant in Saint Louis, MO

Mr Trent P Wagoner, CAA is a medicare enrolled "Anesthesiologist Assistant" in Saint Louis, Missouri. He went to Indiana University School Of Medicine and graduated in 2020 and has 4 years of diverse experience with area of expertise as Anesthesiology Assistant. He is a member of the group practice Iu Anesthesiology Associates, Llc and his current practice location is 615 S New Ballas Rd Dept Of, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 251-6000.

Mr Trent P Wagoner is licensed to practice in Indiana (license number 75000077A) 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 1467058438.

Contact Information

Mr Trent P Wagoner, CAA
615 S New Ballas Rd Dept Of,
Saint Louis, MO 63141-8221
(314) 251-6000
(636) 386-7679



Provider's Profile

Full NameMr Trent P Wagoner
GenderMale
SpecialityAnesthesiology Assistant
Experience4 Years
Location615 S New Ballas Rd Dept Of, Saint Louis, Missouri
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 Trent P Wagoner attended and graduated from Indiana University School Of Medicine in 2020
  NPI Data:
  • NPI Number: 1467058438
  • Provider Enumeration Date: 12/07/2020
  • Last Update Date: 10/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8426461328
  • Enrollment ID: I20210622001903

Medical Identifiers

Medical identifiers for Mr Trent P Wagoner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467058438NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant (* (Not Available))Secondary
367H00000XAnesthesiologist Assistant 75000077A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Indiana University HealthIndianapolis, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Iu Anesthesiology Associates, Llc5395730303148

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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 Trent P Wagoner allows following entities to bill medicare on his behalf.
Entity NameIu Anesthesiology Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285684407
PECOS PAC ID: 5395730303
Enrollment ID: O20040419001228

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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 Trent P 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 Trent P Wagoner, CAA
250 N Shadeland Ave,
Indianapolis, IN 46219-4959

Ph: () -
Mr Trent P Wagoner, CAA
615 S New Ballas Rd Dept Of,
Saint Louis, MO 63141-8221

Ph: (314) 251-6000

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Anesthesiologist Assistant Nurses in Saint Louis, MO

Jeremy Stephen Colyer, AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 10010 Kennerly Rd, Saint Louis, MO 63128
Phone: 636-386-7222    Fax: 636-200-4036
Mrs. Maria Jones, C-AA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 615 S New Ballas Rd Dept Of, Saint Louis, MO 63141
Phone: 636-386-9224    Fax: 636-200-4243
Alexander Sextro, CAA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 11133 Dunn Rd, Saint Louis, MO 63136
Phone: 314-653-5000    
Alexis Haas Stewart,
Anesthesiologist Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 1465 S Grand Blvd, Saint Louis, MO 63104
Phone: 314-977-5700    
Mr. Brian J Ho, A.A.
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 615 S New Ballas Rd, Dept. Of Anesthesiology, Saint Louis, MO 63141
Phone: 314-251-4687    Fax: 636-200-4243
Laheart Marie Rodney, CAA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1465 S Grand Blvd, Saint Louis, MO 63104
Phone: 314-268-7267    
Mr. Nick Balarama Rodriguez, AA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 615 S New Ballas Rd Dept Of, Saint Louis, MO 63141
Phone: 636-386-9224    Fax: 636-386-7679

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