Richard W Wagoner, MD - Medicare Internal Medicine in Havana, IL

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Richard W Wagoner, MD is a medicare enrolled "Internal Medicine" physician in Havana, Illinois. He graduated from medical school in 2001 and has 25 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Mason Hospital District and his current practice location is 615 N Promenade St, Havana, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 543-6600.

Richard W Wagoner is licensed to practice in Illinois (license number 036104579) 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 1861458952.

Contact Information

Richard W Wagoner, MD
615 N Promenade St,
Havana, IL 62644-1243
(309) 543-6600
(309) 543-2089

Map and Direction




Physician's Profile

Full NameRichard W Wagoner
GenderMale
SpecialityInternal Medicine
Experience25 Years
Location615 N Promenade St, Havana, Illinois
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:
  • Richard W Wagoner graduated from medical school in 2001
  NPI Data:
  • NPI Number: 1861458952
  • Provider Enumeration Date: 04/26/2006
  • Last Update Date: 06/01/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 7416085675
  • Enrollment ID: I20100507000571

Medical Identifiers

Medical identifiers for Richard W Wagoner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861458952NPI-NPPES
036104579MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 036104579 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mason District Hospital Home HealthHavana, ILHome health agency
Mason District HospitalHavana, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mason Hospital District246636060737

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. Richard W Wagoner allows following entities to bill medicare on his behalf.
Entity NameMason Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902849649
PECOS PAC ID: 2466360607
Enrollment ID: O20040412000399

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. Richard W 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
Richard W Wagoner, MD
615 N Promenade St, P O Box 530,
Havana, IL 62644-1015

Ph: (309) 543-6600		Richard W Wagoner, MD
615 N Promenade St,
Havana, IL 62644-1243

Ph: (309) 543-6600

Reviews and Comments


Internal Medicine Doctors in Havana, IL

Dr. Carlos Alberto Urdininea Kirkwood, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 615 N Promenade St, Havana, IL 62644
Phone: 309-543-6600    
Tad A Yetter, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 615 N Promenade St, Havana, IL 62644
Phone: 309-543-6600    Fax: 309-543-2089
Daniel Patrick Stoops, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 615 N Promenade St, Havana, IL 62644
Phone: 309-534-8555    

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.