Dr Benjamin J Wagner, DO - Medicare Emergency Medicine in Carbondale, IL

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Dr Benjamin J Wagner, DO is a medicare enrolled "Emergency Medicine" physician in Carbondale, Illinois. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2011 and has 14 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Southern Illinois Medical Services Nfp and his current practice location is 405 W Jackson St, Carbondale, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 549-0721.

Dr Benjamin J Wagner is licensed to practice in Illinois (license number 036140784) 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 1497047567.

Contact Information

Dr Benjamin J Wagner, DO
405 W Jackson St,
Carbondale, IL 62901-1462
(618) 549-0721
(618) 457-0469

Map and Direction




Physician's Profile

Full NameDr Benjamin J Wagner
GenderMale
SpecialityEmergency Medicine
Experience14 Years
Location405 W Jackson St, Carbondale, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Benjamin J Wagner attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2011
  NPI Data:
  • NPI Number: 1497047567
  • Provider Enumeration Date: 05/09/2011
  • Last Update Date: 02/11/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5799914495
  • Enrollment ID: I20160719000295

Medical Identifiers

Medical identifiers for Dr Benjamin J Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497047567NPI-NPPES
036140784MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine OS016686 (Pennsylvania)Secondary
207P00000XEmergency Medicine 036140784 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hospital Of CarbondaleCarbondale, ILHospital
Southern Illinois Hospital Services Dba Herrin HospitalHerrin, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern Illinois Medical Services Nfp3678677390299

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. Dr Benjamin J Wagner allows following entities to bill medicare on his behalf.
Entity NameSouthern Illinois Medical Services Nfp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770656837
PECOS PAC ID: 3678677390
Enrollment ID: O20070404000595

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 Benjamin J 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 AddressPractice Location Address
Dr Benjamin J Wagner, DO
1086 Franklin St,
Johnstown, PA 15905-4305

Ph: (814) 534-3745		Dr Benjamin J Wagner, DO
405 W Jackson St,
Carbondale, IL 62901-1462

Ph: (618) 549-0721

Reviews and Comments


Emergency Medicine Doctors in Carbondale, IL

Scott A. Cooper, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 405 W Jackson St, Memorial Hospital, Carbondale, IL 62901
Phone: 618-549-0721    Fax: 618-529-0449
Amanda M Ryden, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 405 W Jackson St, Carbondale, IL 62901
Phone: 618-549-0721    Fax: 618-457-0469
Ethan Mark Huckabee, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 405 W Jackson St, Carbondale, IL 62901
Phone: 618-549-0721    
Connor Stephenson, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 405 W Jackson St, Carbondale, IL 62901
Phone: 618-549-0721    Fax: 618-457-0469
Dr. Osama Aaflaq, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 405 W Jackson St, Carbondale, IL 62901
Phone: 618-549-0721    
Kevin M Martin, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 405 W Jackson St, Carbondale, IL 62901
Phone: 618-549-0721    Fax: 618-457-0469
James Sullivan, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 405 W Jackson St, Carbondale, IL 62901
Phone: 618-549-0721    Fax: 618-457-0469

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.