Dr David Dale Wageman, DO - Medicare Emergency Medicine in Rupert, ID

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Dr David Dale Wageman, DO is a medicare enrolled "Emergency Medicine" physician in Rupert, Idaho. He graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Emergency Physicians Of The Rockies, Pc, Minidoka Memorial Hospital and 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.

Contact Information

Dr David Dale Wageman, DO
1224 8th St,
Rupert, ID 83350-1599
(208) 436-0481
Not Available

Map and Direction




Physician's Profile

Full NameDr David Dale Wageman
GenderMale
SpecialityEmergency Medicine
Experience4 Years
Location1224 8th St, Rupert, Idaho
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 David Dale Wageman graduated from medical school in 2022
  NPI Data:
  • NPI Number: 1528108867
  • Provider Enumeration Date: 02/07/2007
  • Last Update Date: 06/06/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4183643562
  • Enrollment ID: I20120822000413

Medical Identifiers

Medical identifiers for Dr David Dale Wageman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528108867NPI-NPPES
5101015277OtherMILICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 5101015277 (Michigan)Secondary
207R00000XInternal Medicine 5101015277 (Michigan)Secondary
207P00000XEmergency Medicine O-0753 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Minidoka Memorial HospitalRupert, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emergency Physicians Of The Rockies, Pc034523249281
Minidoka Memorial Hospital731590889439

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 David Dale Wageman allows following entities to bill medicare on his behalf.
Entity NameEmergency Physicians Of The Rockies, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174570717
PECOS PAC ID: 0345232492
Enrollment ID: O20040401001494
Entity NameEmergency Professionals Of Colorado Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396496469
PECOS PAC ID: 2860706967
Enrollment ID: O20150803002325

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 AddressPractice 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

Reviews and Comments


Emergency Medicine Doctors in Rupert, ID

Dr. Jessica Bagby, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1224 8th St, Rupert, ID 83350
Phone: 208-436-0481    
Lanny F Campbell, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1308 8th St Ste 1, Rupert, ID 83350
Phone: 208-436-4322    Fax: 208-436-1312
Jared Owen Hicken, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1224 8th St, Rupert, ID 83350
Phone: 208-436-0481    Fax: 208-436-6038

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.