Dr Jackson Wagoner, MD - Medicare Anesthesiology in Casper, WY

Dr Jackson Wagoner, MD is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Casper, Wyoming. He went to Nebraska College Of Medicine and graduated in 2019 and has 7 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Summit Memorial Medical Group Llc, Florida Clinical Practice Association Inc and his current practice location is 1541 Diamond Dr, Casper, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 439-1097.

Dr Jackson Wagoner is licensed to practice in Wyoming (license number 19414A) 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 1689137408.

Contact Information

Dr Jackson Wagoner, MD
1541 Diamond Dr,
Casper, WY 82601-6247
(307) 439-1097
Not Available

Map and Direction




Physician's Profile

Full NameDr Jackson Wagoner
GenderMale
SpecialityAnesthesiology
Experience7 Years
Location1541 Diamond Dr, Casper, Wyoming
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 Jackson Wagoner attended and graduated from Nebraska College Of Medicine in 2019
  NPI Data:
  • NPI Number: 1689137408
  • Provider Enumeration Date: 04/09/2019
  • Last Update Date: 04/08/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6305269382
  • Enrollment ID: I20260219002020

Medical Identifiers

Medical identifiers for Dr Jackson Wagoner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689137408NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207LP2900XAnesthesiology - Pain Medicine ME169309 (Florida)Secondary
207L00000XAnesthesiology 69349 (Arizona)Secondary
207LP2900XAnesthesiology - Pain Medicine 19414A (Wyoming)Primary
207L00000XAnesthesiology ME169309 (Florida)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Summit Medical CenterCasper, WYHospital
Uf Health Shands HospitalGainesville, FLHospital
Memorial Hospital Of Converse CountyDouglas, WYHospital
Sagewest Health CareRiverton, WYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Memorial Medical Group Llc125487668340
Florida Clinical Practice Association Inc03451462541899

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 Jackson 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 AddressPractice Location Address
Dr Jackson Wagoner, MD
Po Box 100254,
Gainesville, FL 32610-0254

Ph: (352) 273-8610
Dr Jackson Wagoner, MD
1541 Diamond Dr,
Casper, WY 82601-6247

Ph: (307) 439-1097

Reviews and Comments


Anesthesiology Doctors in Casper, WY

David Barahal, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 111 W 2nd St, Suite 415, Casper, WY 82601
Phone: 307-237-5848    Fax: 307-237-5848
Dr. Nathan G Putnam, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1233 E 2nd St, Anesthesiology, Casper, WY 82601
Phone: 435-720-2085    
Todd Michael Witzeling, M.D.
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 1233 E 2nd St, Casper, WY 82601
Phone: 307-577-2123    Fax: 307-577-2239
Bengt Josephson Grua, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1541 Diamond Dr, Casper, WY 82601
Phone: 307-232-6649    Fax: 307-215-0898
Ryan M Burton, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1233 E 2nd St, Casper, WY 82601
Phone: 307-577-7201    
Dr. Dustin J Roberts, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1233 E 2nd St, Casper, WY 82601
Phone: 307-577-2073    
Matthew V Foley, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 2345 E 3rd St, Casper, WY 82609
Phone: 307-689-6109    

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).

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