Dr Alfred A Wagner, OD in Apalachin, NY - Medicare Optometrist Provider

Dr Alfred A Wagner, OD is a medicare enrolled "Optometrist" provider in Apalachin, New York. His current practice location is 8740 State Route 434, Apalachin, New York. You can reach out to his office (for appointments etc.) via phone at (607) 625-2121.

Dr Alfred A Wagner is licensed to practice in New York (license number TUV003310-1) 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 1114916665.

Contact Information

	Dr Alfred A Wagner, OD
	8740 State Route 434, Apalachin, NY 13732-4009
	(607) 625-2121
	(607) 625-2131

Healthcare Provider's Profile

Full Name	Dr Alfred A Wagner
Gender	Male
Speciality	Optometrist
Location	8740 State Route 434, Apalachin, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114916665
Provider Enumeration Date: 10/18/2005
Last Update Date: 07/25/2008

Medicare PECOS Information:

PECOS PAC ID: 0042347080
Enrollment ID: I20100422000382

Medical Identifiers

Medical identifiers for Dr Alfred A Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114916665	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	TUV003310-1 (New York)	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. Dr Alfred A 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 Address	Practice Location Address
Dr Alfred A Wagner, OD Po Box 315, Apalachin, NY 13732-0315 Ph: (607) 625-2121	Dr Alfred A Wagner, OD 8740 State Route 434, Apalachin, NY 13732-4009 Ph: (607) 625-2121

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Optometrist in Apalachin, NY

Alfred A. Wagner, O.d.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 8740 State Route 434, Apalachin, NY 13732
Phone: 607-625-2121 Fax: 607-625-2131

Dr Alfred A Wagner, OD - Medicare Optometrist in Apalachin, NY