Theodore T Wagner Iii, MD in Lafayette, IN

Theodore T Wagner Iii, MD is a medicare enrolled "Urology" physician in Lafayette, Indiana. He went to Ohio State University College Of Medicine and graduated in 1994 and has 32 years of diverse experience with area of expertise as Urology. His current practice location is 3920 St Francis Way Ste 105, Lafayette, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 502-4000.

Theodore T Wagner Iii is licensed to practice in Indiana (license number 01050471A) 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 1831162791.

Contact Information

	Theodore T Wagner Iii, MD
	3920 St Francis Way Ste 105, Lafayette, IN 47905-4917
	(765) 502-4000
	(765) 502-4709

Map and Direction

Physician's Profile

Full Name	Theodore T Wagner Iii
Gender	Male
Speciality	Urology
Experience	32 Years
Location	3920 St Francis Way Ste 105, Lafayette, Indiana
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:

Theodore T Wagner Iii attended and graduated from Ohio State University College Of Medicine in 1994

NPI Data:

NPI Number: 1831162791
Provider Enumeration Date: 02/10/2006
Last Update Date: 03/24/2026

Medicare PECOS Information:

PECOS PAC ID: 5092611632
Enrollment ID: I20031217000099

Medical Identifiers

Medical identifiers for Theodore T Wagner Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831162791	NPI	-	NPPES
100081380	Medicaid	IN
0748972	Medicaid	OH
000000087512	Other	IN	ANTHEM BC/BS
200245650	Medicaid	IN
2568556	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	01050471A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Parkview Regional Medical Center	Fort wayne, IN	Hospital
Adams Memorial Hospital	Decatur, IN	Hospital
Parkview Whitley Hospital	Columbia city, IN	Hospital
Parkview Huntington Hospital	Huntington, IN	Hospital
Bluffton Regional Medical Center	Bluffton, IN	Hospital

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. Theodore T Wagner Iii allows following entities to bill medicare on his behalf.

Entity Name	Parkview Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288

Entity Name	Northeast Indiana Urology. P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619920295 PECOS PAC ID: 5395641914 Enrollment ID: O20031212000174

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. Theodore T Wagner 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
Theodore T Wagner Iii, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800	Theodore T Wagner Iii, MD 3920 St Francis Way Ste 105, Lafayette, IN 47905-4917 Ph: (765) 502-4000

Reviews and Comments

Urology Doctors in Lafayette, IN

Parth Udayan Thakker, MD, MS Urology Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-448-7619
Dr. David Fumo Jr., MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-448-7619
Ashwin Ramaswamy, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000
Samuel Chan Kim, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-448-7619
Derek Prabharasuth, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-838-4758
Timothy James Redden, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5177 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000
John David Reisman, MD Urology Medicare: Medicare Enrolled Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-7619

Theodore T Wagner Iii, MD - Medicare Urology in Lafayette, IN