Serena Wagoner, DO - Medicare Pediatrics in Beaver Dam, WI

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Serena Wagoner, DO is a medicare enrolled "Pediatrics - Child Abuse Pediatrics" physician in Beaver Dam, Wisconsin. Her current practice location is 705 S University Ave, Beaver Dam, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 887-9272.

Serena Wagoner is licensed to practice in Wisconsin (license number 82110) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1790314854.

Contact Information

Serena Wagoner, DO
705 S University Ave,
Beaver Dam, WI 53916-3053
(920) 887-9272
Not Available

Map and Direction




Physician's Profile

Full NameSerena Wagoner
GenderFemale
SpecialityPediatrics - Child Abuse Pediatrics
Location705 S University Ave, Beaver Dam, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790314854
  • Provider Enumeration Date: 04/02/2020
  • Last Update Date: 06/01/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3779943196
  • Enrollment ID: I20230718000182

Medical Identifiers

Medical identifiers for Serena Wagoner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790314854NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080C0008XPediatrics - Child Abuse Pediatrics 82110 (Wisconsin)Primary

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. Serena 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
Serena Wagoner, DO
7974 Uw Health Ct,
Middleton, WI 53562-5531

Ph: () -		Serena Wagoner, DO
705 S University Ave,
Beaver Dam, WI 53916-3053

Ph: (920) 887-9272

Reviews and Comments


Pediatrics Doctors in Beaver Dam, WI

Dr. Jessica L Miesfeld, M.D.
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Jay M Miesfeld, M.D.
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Medicare: Medicare Enrolled
Practice Location: 109 Warren St Ste 4, Beaver Dam, WI 53916
Phone: 920-885-3305    Fax: 920-885-5506

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.