Dr William Wagner Rose Iii, MD is a medicare enrolled "Specialist" physician in Decatur, Georgia. He went to Michigan State University College Of Human Medicine and graduated in 1990 and has 36 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Wheeling Hospital Inc, Phoebe Physician Group Inc, West Virginia University Medical Corporation, Camden-clark Physician Corporation and his current practice location is
2675 N Decatur Rd, Suite 701, Decatur, Georgia. You can reach out to his office (for appointments etc.) via phone at
(404) 299-6488.
Dr William Wagner Rose Iii is licensed to practice in Georgia (license number 045331) 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 1619995271.
Physician's Profile
| Full Name | Dr William Wagner Rose Iii |
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| Gender | Male |
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| Speciality | Vascular Surgery |
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| Experience | 36 Years |
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| Location | 2675 N Decatur Rd, Decatur, Georgia |
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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. |
Medical Education and Training:
- Dr William Wagner Rose Iii attended and graduated from Michigan State University College Of Human Medicine in 1990
NPI Data:
- NPI Number: 1619995271
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 09/11/2026
Medicare PECOS Information:
- PECOS PAC ID: 4183891542
- Enrollment ID: I20221103001730
Medical Identifiers
Medical identifiers for Dr William Wagner Rose Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619995271 | NPI | - | NPPES |
| 00818529E | Medicaid | GA | |
| 1619995271 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2086S0129X | Surgery - Vascular Surgery | 31662 (West Virginia) | Secondary |
| 174400000X | Specialist | 045331 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Wheeling Hospital Inc | 5799689493 | 433 |
| Phoebe Physician Group Inc | 8426112350 | 420 |
| West Virginia University Medical Corporation | 1052224565 | 1974 |
| Camden-clark Physician Corporation | 5294885661 | 345 |
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 William Wagner Rose Iii allows following entities to bill medicare on his behalf.
| Entity Name | West Virginia University Medical Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
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| Entity Name | Wheeling Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548923923 PECOS PAC ID: 5799689493 Enrollment ID: O20031124000706 |
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| Entity Name | Camden-clark Physician Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710125430 PECOS PAC ID: 5294885661 Enrollment ID: O20090604000570 |
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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 William Wagner Rose Iii 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 William Wagner Rose Iii, MD 2675 N Decatur Rd Ste 701, Decatur, GA 30033-6135 Ph: (404) 299-6488 | Dr William Wagner Rose Iii, MD 2675 N Decatur Rd, Suite 701, Decatur, GA 30033-6131 Ph: (404) 299-6488 |
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