Dr Christopher S Wagoner, MD | |
640 W Washington St, Pittsfield, IL 62363-1350 | |
(217) 285-9447 | |
Not Available |
Full Name | Dr Christopher S Wagoner |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 17 Years |
Location | 640 W Washington St, Pittsfield, Illinois |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750583506 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036.125125 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Pike County Health Department | Pittsfield, IL | Home health agency |
Illini Community Hospital | Pittsfield, IL | Hospital |
Blessing Hospital | Quincy, IL | Hospital |
Pittsfield Manor | Pittsfield, IL | Nursing home |
Eastside Health & Rehab Center | Pittsfield, IL | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Blessingcare Corporation | 2769420959 | 16 |
Entity Name | Blessingcare Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992038640 PECOS PAC ID: 2769420959 Enrollment ID: O20050419000684 |
Mailing Address | Practice Location Address |
---|---|
Dr Christopher S Wagoner, MD 927 Broadway St Ste 121, Quincy, IL 62301-2727 Ph: (217) 223-8400 | Dr Christopher S Wagoner, MD 640 W Washington St, Pittsfield, IL 62363-1350 Ph: (217) 285-9447 |
Amelia L. Dean, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 320 N Madison, Pittsfield, IL 62363 Phone: 217-285-9601 | |
Dr. Ronald L Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 320 N Madison, Pittsfield, IL 62363 Phone: 217-285-9601 Fax: 217-285-6188 | |
Craig R Davenport, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 320 N Madison St, Pittsfield, IL 62363 Phone: 217-285-6981 | |
Dakota Lammy, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 640 W Washington St, Pittsfield, IL 62363 Phone: 217-285-9447 Fax: 217-285-9448 | |
Dr. Sebastian Baginski, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 320 N Madison St, Pittsfield, IL 62363 Phone: 217-285-9601 Fax: 217-285-6188 | |
Kiran Bhaskar Khanolkar, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 W Washington St, Pittsfield, IL 62363 Phone: 217-285-2113 |