Mr William Wallace Waggoner, PT in West Lafayette, IN - Medicare Physical Therapy Provider

Mr William Wallace Waggoner, PT is a medicare enrolled "Physical Therapist" provider in West Lafayette, Indiana. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Team Rehabilitation Services Llc and his current practice location is 500 Sagamore Pkwy W Ste 2w, West Lafayette, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 250-9660.

Mr William Wallace Waggoner is licensed to practice in Indiana (license number 05006050A) 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 1255368049.

Contact Information

	Mr William Wallace Waggoner, PT
	500 Sagamore Pkwy W Ste 2w, West Lafayette, IN 47906-1459
	(765) 250-9660
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr William Wallace Waggoner
Gender	Male
Speciality	Physical Therapy
Experience	27 Years
Location	500 Sagamore Pkwy W Ste 2w, West Lafayette, Indiana
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 William Wallace Waggoner graduated from medical school in 1997

NPI Data:

NPI Number: 1255368049
Provider Enumeration Date: 06/27/2006
Last Update Date: 01/22/2018

Medicare PECOS Information:

PECOS PAC ID: 4385701564
Enrollment ID: I20090316000663

Medical Identifiers

Medical identifiers for Mr William Wallace Waggoner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255368049	NPI	-	NPPES
000000527519	Other	IN	ANTHEM PROVIDER NUMBER
200307360	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	05006050A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Team Rehabilitation Services Llc	2264479518	522

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. Mr William Wallace Waggoner allows following entities to bill medicare on his behalf.

Provider Name	Team Rehabilitation In09, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1700319712 PECOS PAC ID: 5698042471 Enrollment ID: O20170526000931

Provider Name	Team Rehabilitation Services Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1790455046 PECOS PAC ID: 2264479518 Enrollment ID: O20211026003156

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 William Wallace Waggoner 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 William Wallace Waggoner, PT 33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258 Ph: (586) 350-2644	Mr William Wallace Waggoner, PT 500 Sagamore Pkwy W Ste 2w, West Lafayette, IN 47906-1459 Ph: (765) 250-9660

Reviews and Comments

Physical Therapist in West Lafayette, IN

Jessica Stipp, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 Lindberg Rd, West Lafayette, IN 47906 Phone: 765-464-5600
Randous Bowens, Physical Therapist Medicare: Medicare Enrolled Practice Location: 257 Sagamore Pkwy W, Suite 230, West Lafayette, IN 47906 Phone: 765-463-2200
Lawrence Dantae Robertson, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 909 Sagamore Pkwy W Ste 917, West Lafayette, IN 47906 Phone: 765-463-0710 Fax: 765-463-0711
Kirstin Lestinsky, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1044 Sagamore Pkwy W Unit A, West Lafayette, IN 47906 Phone: 765-250-4445
Rachel Wichlinski, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2741 N Salisbury St, West Lafayette, IN 47906 Phone: 765-463-7546
Garrett R Buechler, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1044 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-250-4445 Fax: 765-463-7664
Kirsten Zambon, PT, DPT, CLT Physical Therapist Medicare: Medicare Enrolled Practice Location: 909 Sagamore Pkwy W Ste 917, West Lafayette, IN 47906 Phone: 765-463-0710 Fax: 765-463-0711

Mr William Wallace Waggoner, PT - Medicare Physical Therapist in West Lafayette, IN