Tommy W Wagner, MD is a medicare enrolled "Family Medicine" physician in Manila, Arkansas. His current practice location is 
3644 W St Hwy 18, Manila, Arkansas. You can reach out to his office (for appointments etc.) via phone at 
(870) 561-3300.
Tommy W Wagner is licensed to practice in Arkansas (license number E3873) 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 1952385064.
			
			
			
			
			
		 
		
		 
Physician's Profile
		
			
			
			| Full Name | Tommy W Wagner | 
|---|
| Gender | Male | 
|---|
| Speciality |  | 
|---|
| Experience | Years | 
|---|
| Location | 3644 W St Hwy 18, Manila, Arkansas | 
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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:
- Tommy W Wagner attended and graduated from  in 
  NPI Data:
			
			- NPI Number: 1952385064
- Provider Enumeration Date: 12/01/2005
- Last Update Date: 02/20/2014
  Medicare PECOS Information:
- PECOS PAC ID: 
- Enrollment ID: 
 
		 
		 
Medical Identifiers
		Medical identifiers for Tommy W Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1952385064 | NPI | - | NPPES | 
| 156106001 | Medicaid | AR |  | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 207Q00000X | Family Medicine | E3873 (Arkansas) | 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. Tommy W Wagner 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 | 
|---|
		| Tommy W Wagner, MD Po Box 910,
 Manila, AR 72442
 Ph: (870) 561-3300
 | Tommy W Wagner, MD 3644 W St Hwy 18,
 Manila, AR 72442
 Ph: (870) 561-3300
 | 
		
		 
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