Dr David Dale Wageman, DO is a medicare enrolled "Emergency Medicine" physician in Rupert, Idaho. His current practice location is
1224 8th St, Rupert, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 436-0481.
Dr David Dale Wageman is licensed to practice in Idaho (license number O-0753) 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 1528108867.
Physician's Profile
| Full Name | Dr David Dale Wageman |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1224 8th St, Rupert, Idaho |
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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 David Dale Wageman attended and graduated from in
NPI Data:
- NPI Number: 1528108867
- Provider Enumeration Date: 02/07/2007
- Last Update Date: 06/06/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr David Dale Wageman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528108867 | NPI | - | NPPES |
| 5101015277 | Other | MI | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 5101015277 (Michigan) | Secondary |
| 207R00000X | Internal Medicine | 5101015277 (Michigan) | Secondary |
| 207P00000X | Emergency Medicine | O-0753 (Idaho) | 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 David Dale Wageman 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 David Dale Wageman, DO
1640 Mcmanus Dr,
Troy, MI 48084-1551
Ph: (734) 673-0245 | Dr David Dale Wageman, DO
1224 8th St,
Rupert, ID 83350-1599
Ph: (208) 436-0481 |
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