Dr Bret Bouton Wagenhorst, MD is a medicare enrolled "Ophthalmology" physician in Tifton, Georgia. His current practice location is
1803 Old Ocilla Rd, Tifton, Georgia. You can reach out to his office (for appointments etc.) via phone at
(229) 386-2181.
Dr Bret Bouton Wagenhorst is licensed to practice in Georgia (license number 044138) 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 1841201134.
Physician's Profile
| Full Name | Dr Bret Bouton Wagenhorst |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1803 Old Ocilla Rd, Tifton, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Bret Bouton Wagenhorst attended and graduated from in
NPI Data:
- NPI Number: 1841201134
- Provider Enumeration Date: 08/11/2006
- Last Update Date: 03/08/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Bret Bouton Wagenhorst such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841201134 | NPI | - | NPPES |
| 077471001 | Other | GA | CIGNA |
| 00760856A | Medicaid | GA | |
| 180041335 | Other | GA | RRMC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | 044138 (Georgia) | 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 Bret Bouton Wagenhorst 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 Bret Bouton Wagenhorst, MD
907 18th St E Ste 400,
Tifton, GA 31794-3684
Ph: (229) 353-3450 | Dr Bret Bouton Wagenhorst, MD
1803 Old Ocilla Rd,
Tifton, GA 31794-1617
Ph: (229) 386-2181 |
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