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.
Healthcare Provider's Profile
Full Name | Dr Alfred A Wagner |
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Gender | Male |
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Speciality | Optometrist |
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Location | 8740 State Route 434, Apalachin, New York |
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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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