Mr Philip Wagenbach, PA-C in Bomoseen, VT - Medicare Physician Assistant

Mr Philip Wagenbach, PA-C is a medicare enrolled "Physician Assistant - Medical" in Bomoseen, Vermont. He graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Community Health Centers Of The Rutland Region Inc and his current practice location is 275 Route 30 N, Bomoseen, Vermont. You can reach out to his office (for appointments etc.) via phone at (802) 468-5641.

Mr Philip Wagenbach is licensed to practice in Vermont (license number 055-0031268) 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 1790797116.

Contact Information

	Mr Philip Wagenbach, PA-C
	275 Route 30 N, Bomoseen, VT 05732-9647
	(802) 468-5641
	(802) 468-2923

Map and Direction

Provider's Profile

Full Name	Mr Philip Wagenbach
Gender	Male
Speciality	Physician Assistant
Experience	19 Years
Location	275 Route 30 N, Bomoseen, Vermont
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:

Mr Philip Wagenbach graduated from nursing school in 2005

NPI Data:

NPI Number: 1790797116
Provider Enumeration Date: 08/13/2006
Last Update Date: 10/05/2015

Medicare PECOS Information:

PECOS PAC ID: 0446271845
Enrollment ID: I20151119000526

Medical Identifiers

Medical identifiers for Mr Philip Wagenbach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790797116	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	001695 (Connecticut)	Secondary
363AM0700X	Physician Assistant - Medical	055-0031268 (Vermont)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Rutland Regional Medical Center	Rutland, VT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Community Health Centers Of The Rutland Region Inc	2961467386	85

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 Philip Wagenbach 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
Mr Philip Wagenbach, PA-C 700 School St, Pawtucket, RI 02860-5747 Ph: (401) 616-2000	Mr Philip Wagenbach, PA-C 275 Route 30 N, Bomoseen, VT 05732-9647 Ph: (802) 468-5641

Reviews and Comments

Physician Assistant Nurses in Bomoseen, VT

Pauline Kahng, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 275 Route 30 N, Bomoseen, VT 05732 Phone: 802-773-3386
J Andrew Gorton, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 275 Route 30 N, Castleton Family Health Center, Bomoseen, VT 05732 Phone: 802-468-5641 Fax: 802-468-2923
Katelyn Doran Belden, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 275 Vt 30 N, Bomoseen, VT 05732 Phone: 802-468-5641
Samuel Joseph Cahill, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 275 Route 30 N, Bomoseen, VT 05732 Phone: 802-468-5641

Mr Philip Wagenbach, PA-C - Medicare Physician Assistant in Bomoseen, VT