Vitas Erik Wagner, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Tacoma, Washington. His current practice location is
1708 Yakima Ave Ste 105, Tacoma, Washington. You can reach out to his office (for appointments etc.) via phone at
(253) 552-1200.
Vitas Erik Wagner is licensed to practice in Washington (license number MD61176219) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1982115358.
Physician's Profile
| Full Name | Vitas Erik Wagner |
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| Gender | Male |
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| Speciality | Colon & Rectal Surgery |
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| Location | 1708 Yakima Ave Ste 105, Tacoma, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1982115358
- Provider Enumeration Date: 10/12/2017
- Last Update Date: 10/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 1951707991
- Enrollment ID: I20210831001439
Medical Identifiers
Medical identifiers for Vitas Erik Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1982115358 | NPI | - | NPPES |
| 2189171 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | MD61176219 (Washington) | Secondary |
| 208C00000X | Colon & Rectal Surgery | MD61176219 (Washington) | 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. Vitas Erik 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 |
Vitas Erik Wagner, MD 1708 Yakima Ave Ste 105, Tacoma, WA 98405-5300 Ph: (253) 552-1200 | Vitas Erik Wagner, MD 1708 Yakima Ave Ste 105, Tacoma, WA 98405-5300 Ph: (253) 552-1200 |
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