Dr Richard M Wagner, DDS in Racine, WI - Medicare Dentist Provider

Dr Richard M Wagner, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Racine, Wisconsin. His current practice location is 1925 South Green Bay Rd, Racine, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 634-4646.

Dr Richard M Wagner is licensed to practice in Wisconsin (license number 3092) 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 1770700957.

Contact Information

	Dr Richard M Wagner, DDS
	1925 South Green Bay Rd, Racine, WI 53406-4654
	(262) 634-4646
	(262) 634-4694

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Richard M Wagner
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	1925 South Green Bay Rd, Racine, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770700957
Provider Enumeration Date: 04/19/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9739368135
Enrollment ID: I20180613000430

Medical Identifiers

Medical identifiers for Dr Richard M Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770700957	NPI	-	NPPES
33491300	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	3092 (Wisconsin)	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 Richard M 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 Richard M Wagner, DDS 1925 South Green Bay Rd, Racine, WI 53406-4654 Ph: (262) 634-4646	Dr Richard M Wagner, DDS 1925 South Green Bay Rd, Racine, WI 53406-4654 Ph: (262) 634-4646

Reviews and Comments

Dentist in Racine, WI

Dr. Earl L Newton, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1320 S Greenbay Rd, Racine, WI 53406 Phone: 262-637-9371
Dr. Shoba Warren, Dentist Medicare: Not Enrolled in Medicare Practice Location: 6218 Washington Ave, Suite C, Racine, WI 53406 Phone: 262-886-1300 Fax: 262-886-1837
Dr. Leonardo Huck, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4060 N Main St, Suite 102, Racine, WI 53402 Phone: 262-639-7298
Dr. Kimberly A Kind-bauer, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4445 Taylor Ave, Racine, WI 53405 Phone: 262-554-1600 Fax: 262-554-1640
Dr. Mark D Lenz, DDS, MS, SC Dentist Medicare: Not Enrolled in Medicare Practice Location: 1558 S Greenbay Rd, Racine, WI 53406 Phone: 262-634-6900 Fax: 262-634-6786
Dr. Richard L. Defurio, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2601 Taylor Ave, Racine, WI 53403 Phone: 262-632-3156 Fax: 262-632-3063
Dr. Kenneth Liard Gould Iii, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1831 S Greenbay Rd, Racine, WI 53406 Phone: 262-633-0080 Fax: 262-619-0311

Dr Richard M Wagner, DDS - Medicare Dentist in Racine, WI