Adam Richard Waggoner, DO in Yakima, WA - Medicare Emergency Medicine

Adam Richard Waggoner, DO is a medicare enrolled "Emergency Medicine" physician in Yakima, Washington. His current practice location is 200 University Pkwy, Yakima, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 452-5100.

Adam Richard Waggoner is licensed to practice in Washington (license number OP60840174) 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 1538420351.

Contact Information

	Adam Richard Waggoner, DO
	200 University Pkwy, Yakima, WA 98901-9539
	(509) 452-5100
	Not Available

Map and Direction

Physician's Profile

Full Name	Adam Richard Waggoner
Gender	Male
Speciality	Emergency Medicine
Location	200 University Pkwy, Yakima, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538420351
Provider Enumeration Date: 06/07/2012
Last Update Date: 04/13/2022

Medicare PECOS Information:

PECOS PAC ID: 0345522629
Enrollment ID: I20180605002849

Medical Identifiers

Medical identifiers for Adam Richard Waggoner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538420351	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	OP60840174 (Washington)	Primary

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. Adam Richard Waggoner allows following entities to bill medicare on his behalf.

Entity Name	Washington Emergency Physician Partners Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346586351 PECOS PAC ID: 5092951814 Enrollment ID: O20130424000635

Entity Name	Sunnyside Emergency Group A Professional Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033529367 PECOS PAC ID: 0941424451 Enrollment ID: O20140623002600

Entity Name	Sound Physicians Emergency Medicine Of Washington Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629532064 PECOS PAC ID: 7315279007 Enrollment ID: O20191030000855

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. Adam Richard 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
Adam Richard Waggoner, DO 1016 Tacoma Ave, Sunnyside, WA 98944-2263 Ph: (509) 837-1500	Adam Richard Waggoner, DO 200 University Pkwy, Yakima, WA 98901-9539 Ph: (509) 452-5100

Reviews and Comments

Emergency Medicine Doctors in Yakima, WA

David L Brown, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2811 Tieton Dr, Yakima, WA 98902 Phone: 509-575-8000
Dr. Scott W Chapman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2811 Tieton Dr, Yakima, WA 98902 Phone: 509-575-8100
Nicholas Reiter, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2811 Tieton Dr, Yakima, WA 98902 Phone: 509-575-8100
Craig W. Edgar, MD00041988 Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2811 Tieton Dr, Yakima, WA 98902 Phone: 509-575-8000 Fax: 509-575-8745
Dr. John Barlow Tanner, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2811 Tieton Dr, Yakima, WA 98902 Phone: 509-575-8100
Dr. Faye Philomena Provenza, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 110 S 9th Ave, Yakima, WA 98902 Phone: 509-575-5061
Dr. Kristin Shnowske, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2811 Tieton Dr, Yakima, WA 98902 Phone: 509-575-8000

Adam Richard Waggoner, DO - Medicare Emergency Medicine in Yakima, WA