Dr Jack Wagoner, MD in Jackson, MI - Medicare Anesthesiology

Dr Jack Wagoner, MD is a medicare enrolled "Anesthesiology" physician in Jackson, Michigan. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Anesthesia Associates Of Ann Arbor Pllc and his current practice location is 205 N East Ave, Jackson, Michigan. You can reach out to his office (for appointments etc.) via phone at (517) 788-4963.

Dr Jack Wagoner is licensed to practice in Michigan (license number 4301-407025) 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 1598700072.

Contact Information

	Dr Jack Wagoner, MD
	205 N East Ave, Jackson, MI 49201-1753
	(517) 788-4963
	(517) 789-5903

Map and Direction

Physician's Profile

Full Name	Dr Jack Wagoner
Gender	Male
Speciality	Anesthesiology
Experience	38 Years
Location	205 N East Ave, Jackson, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jack Wagoner graduated from medical school in 1986

NPI Data:

NPI Number: 1598700072
Provider Enumeration Date: 06/18/2006
Last Update Date: 11/06/2007

Medicare PECOS Information:

PECOS PAC ID: 6608868435
Enrollment ID: I20100625000709

Medical Identifiers

Medical identifiers for Dr Jack Wagoner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598700072	NPI	-	NPPES
2737106	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	4301-407025 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Forest Health Medical Center	Ypsilanti, MI	Hospital
St Joseph Mercy Chelsea	Chelsea, MI	Hospital
University Of Michigan Health System	Ann arbor, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Anesthesia Associates Of Ann Arbor Pllc	1355317223	143

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. Dr Jack Wagoner allows following entities to bill medicare on his behalf.

Entity Name	Anesthesia Associates Of Ann Arbor Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669581997 PECOS PAC ID: 1355317223 Enrollment ID: O20040902000916

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 Jack 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 Address	Practice Location Address
Dr Jack Wagoner, MD 205 N East Ave, Jackson, MI 49201-1753 Ph: (517) 788-4963	Dr Jack Wagoner, MD 205 N East Ave, Jackson, MI 49201-1753 Ph: (517) 788-4963

Reviews and Comments

Anesthesiology Doctors in Jackson, MI

Dr. Melinda Mitchell, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-205-7836
Clemon Pardales, D.O. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2775 Blake Rd, Jackson, MI 49201 Phone: 517-787-2906 Fax: 517-787-3039
Jose J. Rivera-melendez, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2775 Blake Rd, Jackson, MI 49201 Phone: 517-787-2906 Fax: 517-787-3039
Dr. Vinay Anad-raj Pallekonda, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 255 W Michigan Ave, Jackson, MI 49201 Phone: 517-787-6440 Fax: 517-787-7230
Dr. Daniel Robert Grutter, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 205 North East Ave, Anesthesia Department, Jackson, MI 49201 Phone: 517-205-3240
Dr. Yung I Park, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 255 W Michigan Ave, Jackson, MI 49201 Phone: 517-787-6440 Fax: 517-787-4146
Nicole M Horning, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-205-4800

Dr Jack Wagoner, MD - Medicare Anesthesiology in Jackson, MI