Daniel Lee Wagstaff, MD in Spartanburg, SC - Medicare Internal Medicine

Daniel Lee Wagstaff, MD is a medicare enrolled "Internal Medicine" physician in Spartanburg, South Carolina. His current practice location is 101 E Wood St, Spartanburg, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 560-6654.

Daniel Lee Wagstaff is licensed to practice in South Carolina (license number 24395) 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 1417904442.

Contact Information

	Daniel Lee Wagstaff, MD
	101 E Wood St, Spartanburg, SC 29303-3040
	(864) 560-6654
	Not Available

Map and Direction

Physician's Profile

Full Name	Daniel Lee Wagstaff
Gender	Male
Speciality	Internal Medicine
Location	101 E Wood St, Spartanburg, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417904442
Provider Enumeration Date: 05/27/2006
Last Update Date: 02/12/2016

Medicare PECOS Information:

PECOS PAC ID: 7517945611
Enrollment ID: I20040713001121

Medical Identifiers

Medical identifiers for Daniel Lee Wagstaff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417904442	NPI	-	NPPES
576007863071	Other	SC	BLUECHOICE HEALTHPLAN ID
576007863095	Other	SC	BCBS OF SC ID
1808580	Medicaid	LA
P00110891	Other	SC	RR MEDICARE
5135341	Other	SC	CIGNA ID
243953	Medicaid	SC
03427237	Medicaid	MS
7712588	Other	SC	AETNA ID
P01577390	Other	SC	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	24395 (South Carolina)	Primary
208M00000X	Hospitalist	203440 (Louisiana)	Secondary
207R00000X	Internal Medicine	203440 (Louisiana)	Secondary

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. Daniel Lee Wagstaff allows following entities to bill medicare on his behalf.

Entity Name	Pelham Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619133568 PECOS PAC ID: 2365519097 Enrollment ID: O20080923000329

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. Daniel Lee Wagstaff 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
Daniel Lee Wagstaff, MD Po Box 743070, Atlanta, GA 30374-3070 Ph: (864) 560-4304	Daniel Lee Wagstaff, MD 101 E Wood St, Spartanburg, SC 29303-3040 Ph: (864) 560-6654

Reviews and Comments

Internal Medicine Doctors in Spartanburg, SC

Dr. Tondre Buck, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-7050 Fax: 864-560-0800
Adam Evec, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St Ste 500, Spartanburg, SC 29303 Phone: 864-560-4304 Fax: 864-560-4023
Larry E Kibler, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1083 Boiling Springs Rd, Spartanburg, SC 29303 Phone: 864-583-8647 Fax: 864-542-2227
Dr. Vikas Dembla, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-7050 Fax: 864-560-0800
Dr. Andrew Omoit Ekatan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Suite 401, Spartanburg, SC 29303 Phone: 864-560-6654 Fax: 864-560-7353
Stetson Reed Bickley, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6522 Fax: 888-972-8644
Nalin K Srivastava, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1083 Boiling Springs Rd, Spartanburg, SC 29303 Phone: 864-583-8647 Fax: 864-542-2227

Daniel Lee Wagstaff, MD - Medicare Internal Medicine in Spartanburg, SC