Eric David Wagner, in Carbondale, IL - Medicare Certified Registered Nurse Anesthetist (crna)

Eric David Wagner, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Carbondale, Illinois. He went to University Of Michigan Medical School and graduated in 2017 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice North American Partners In Anesthesia Illinois Llc, Northstar Anesthesia Of Illinois, Llc and his current practice location is 405 W Jackson St, Carbondale, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 549-0721.

Eric David Wagner is licensed to practice in Illinois (license number 209016825) 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 1306358445.

Contact Information

	Eric David Wagner,
	405 W Jackson St, Carbondale, IL 62901-1462
	(618) 549-0721
	(618) 529-0449

Map and Direction

Provider's Profile

Full Name	Eric David Wagner
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	7 Years
Location	405 W Jackson St, Carbondale, Illinois
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:

Eric David Wagner attended and graduated from University Of Michigan Medical School in 2017

NPI Data:

NPI Number: 1306358445
Provider Enumeration Date: 10/30/2017
Last Update Date: 03/05/2021

Medicare PECOS Information:

PECOS PAC ID: 2961769435
Enrollment ID: I20171208001194

Medical Identifiers

Medical identifiers for Eric David Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306358445	NPI	-	NPPES
118877	Other	IL	NBCRNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	209016825 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital Of Carbondale	Carbondale, IL	Hospital
St Anthonys Memorial Hospital	Effingham, IL	Hospital
Southern Illinois Hospital Services Dba Herrin Hospital	Herrin, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North American Partners In Anesthesia Illinois Llc	1052576519	286
Northstar Anesthesia Of Illinois, Llc	4688893878	213

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. Eric David Wagner allows following entities to bill medicare on his behalf.

Entity Name	Southern Illinois Medical Services Nfp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595

Entity Name	North American Partners In Anesthesia Illinois Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534

Entity Name	Northstar Anesthesia Of Illinois, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962822395 PECOS PAC ID: 4688893878 Enrollment ID: O20140922000405

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. Eric David 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
Eric David Wagner, Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200	Eric David Wagner, 405 W Jackson St, Carbondale, IL 62901-1462 Ph: (618) 549-0721

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Carbondale, IL

Mr. Dan Edward Miller, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721
Nathaniel C Crum, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Main St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0449
Mr. Shawn Wayne Pyle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0449
Justin D Craft, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721
Megan E Sims, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721
Britley Ann White, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Sih Medical Group Anesthesiology, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0529
Ms. Christine Marie Dakin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-549-5128

Eric David Wagner, - Medicare Certified Registered Nurse Anesthetist (crna) in Carbondale, IL