Dr Kendall Darren Wagner, MD is a medicare enrolled "Internal Medicine" physician in Barling, Arkansas. He went to University Of Arkansas College Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Internal Medicine. His current practice location is
7003 Chad Colley Blvd, Barling, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(479) 431-3500.
Dr Kendall Darren Wagner is licensed to practice in Arkansas (license number E-8349) 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 1699091264.
Physician's Profile
| Full Name | Dr Kendall Darren Wagner |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 14 Years |
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| Location | 7003 Chad Colley Blvd, Barling, Arkansas |
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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 Kendall Darren Wagner attended and graduated from University Of Arkansas College Of Medicine in 2010
NPI Data:
- NPI Number: 1699091264
- Provider Enumeration Date: 04/07/2010
- Last Update Date: 10/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 0244454916
- Enrollment ID: I20140619001531
Medical Identifiers
Medical identifiers for Dr Kendall Darren Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699091264 | NPI | - | NPPES |
| 202855001 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RA0000X | Internal Medicine - Adolescent Medicine | E-8349 (Arkansas) | Secondary |
| 208000000X | Pediatrics | E-8349 (Arkansas) | Secondary |
| 207R00000X | Internal Medicine | E-8349 (Arkansas) | Primary |
Medical Facilities Affiliation
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 Kendall Darren Wagner allows following entities to bill medicare on his behalf.
| Entity Name | Kendall D. Wagner, M.d., Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528721271
PECOS PAC ID: 5698164283
Enrollment ID: O20211122000266 |
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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 Kendall Darren Wagner 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 |
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Dr Kendall Darren Wagner, MD
7003 Chad Colley Blvd,
Barling, AR 72923-3000
Ph: (479) 431-3500 | Dr Kendall Darren Wagner, MD
7003 Chad Colley Blvd,
Barling, AR 72923-3000
Ph: (479) 431-3500 |
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