Sean Daryl Wengroff, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Hereford, Texas. He graduated from medical school in 1994 and has 32 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Maxie C Sprott Ii Md Pa and his current practice location is
540 W 15th St, Hereford, Texas. You can reach out to his office (for appointments etc.) via phone at
(806) 364-7512.
Sean Daryl Wengroff is licensed to practice in Texas (license number L4167) 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 1043273873.
Physician's Profile
| Full Name | Sean Daryl Wengroff |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 32 Years |
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| Location | 540 W 15th St, Hereford, Texas |
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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:
- Sean Daryl Wengroff graduated from medical school in 1994
NPI Data:
- NPI Number: 1043273873
- Provider Enumeration Date: 04/11/2006
- Last Update Date: 09/12/2018
Medicare PECOS Information:
- PECOS PAC ID: 2860380136
- Enrollment ID: I20040308001379
Medical Identifiers
Medical identifiers for Sean Daryl Wengroff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043273873 | NPI | - | NPPES |
| 163758901 | Medicaid | TX | |
| 8K4080 | Other | TX | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | L4167 (Texas) | Secondary |
| 207V00000X | Obstetrics & Gynecology | L4167 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Maxie C Sprott Ii Md Pa | 6800980525 | 2 |
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. Sean Daryl Wengroff allows following entities to bill medicare on his behalf.
| Entity Name | Deaf Smith County Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568454403
PECOS PAC ID: 8123923497
Enrollment ID: O20040510000475 |
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| Entity Name | Maxie C Sprott Ii Md Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326134594
PECOS PAC ID: 6800980525
Enrollment ID: O20090202000108 |
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| Entity Name | Texas Health Foundation Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992473391
PECOS PAC ID: 5597153221
Enrollment ID: O20211028001587 |
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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. Sean Daryl Wengroff 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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Sean Daryl Wengroff, MD
540 W 15th St,
Hereford, TX 79045-2820
Ph: (806) 364-7512 | Sean Daryl Wengroff, MD
540 W 15th St,
Hereford, TX 79045
Ph: (806) 364-7512 |
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