Dr Derrick Durell Wagoner, DO in Edmond, OK

Dr Derrick Durell Wagoner, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Edmond, Oklahoma. He went to West Virginia School Of Osteopathic Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Associated Radiologists Of The Finger Lakes, P.c., Gershon Pain Specialists Llc, Associated Radiologists Of The Finger Lakes, P.c. and his current practice location is 1800 Renaissance Blvd Ste 110, Edmond, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 601-2325.

Dr Derrick Durell Wagoner is licensed to practice in Oklahoma (license number 6324) 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 1760829220.

Contact Information

	Dr Derrick Durell Wagoner, DO
	1800 Renaissance Blvd Ste 110, Edmond, OK 73013
	(405) 601-2325
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Derrick Durell Wagoner
Gender	Male
Speciality	Pain Management
Experience	11 Years
Location	1800 Renaissance Blvd Ste 110, Edmond, Oklahoma
Accepts Medicare Assignments	Yes. 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 Derrick Durell Wagoner attended and graduated from West Virginia School Of Osteopathic Medicine in 2013

NPI Data:

NPI Number: 1760829220
Provider Enumeration Date: 05/23/2013
Last Update Date: 08/31/2018

Medicare PECOS Information:

PECOS PAC ID: 8123383205
Enrollment ID: I20190815003092

Medical Identifiers

Medical identifiers for Dr Derrick Durell Wagoner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760829220	NPI	-	NPPES
200769850A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	6324 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Arnot Ogden Medical Center	Elmira, NY	Hospital
Ira Davenport Memorial Hospital	Bath, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Associated Radiologists Of The Finger Lakes, P.c.	5294623955	9
Gershon Pain Specialists Llc	7618075821	4
Associated Radiologists Of The Finger Lakes, P.c.	5294623955	9

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 Derrick Durell Wagoner allows following entities to bill medicare on his behalf.

Entity Name	Gershon Pain Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871710798 PECOS PAC ID: 7618075821 Enrollment ID: O20070612000673

Entity Name	Associated Radiologists Of The Finger Lakes, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063489060 PECOS PAC ID: 5294623955 Enrollment ID: O20210913000024

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 Derrick Durell Wagoner 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 Derrick Durell Wagoner, DO 321 Shappee St, Horseheads, NY 14845-1918 Ph: () -	Dr Derrick Durell Wagoner, DO 1800 Renaissance Blvd Ste 110, Edmond, OK 73013 Ph: (405) 601-2325

Reviews and Comments

Radiology Doctors in Edmond, OK

Laurie J Hast, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1208 Blue Wister Cv, Edmond, OK 73013 Phone: 405-255-4519
Donald Wayne Nix, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 902 S Bryant Ave, Edmond, OK 73034 Phone: 405-348-1900 Fax: 405-348-0423
James Delbert Crooks, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 902 S Bryant Ave, Edmond, OK 73034 Phone: 405-348-1900 Fax: 405-348-0423
Robin E Acker, MD Radiology Medicare: Medicare Enrolled Practice Location: 1849 Fairmont Ln, Edmond, OK 73013 Phone: 405-659-4120
Dr. Lori Ann Fredrick, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2601 Kelley Pointe Pkwy, Ste. 101, Edmond, OK 73013 Phone: 405-844-2601 Fax: 405-844-2610
James Keith Cooper, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3509 French Park Dr, Ste E, Edmond, OK 73034 Phone: 405-285-6901 Fax: 405-285-6902
Rodney Alen Kernes, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 432 Pacific Crest Trl, Edmond, OK 73003 Phone: 952-595-1100 Fax: 612-294-4903

Dr Derrick Durell Wagoner, DO - Medicare Pain Management in Edmond, OK