| William Glyn Wagnon, MD | |
|
6200 N La Cholla Blvd, Tucson, AZ 85741-3529 | |
| (520) 742-9000 | |
| Not Available |
| Full Name | William Glyn Wagnon |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 46 Years |
| Location | 6200 N La Cholla Blvd, Tucson, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699789008 | NPI | - | NPPES |
| 111244001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | C5842 (Arkansas) | Primary |
| 207L00000X | Anesthesiology | 2026-02269 (North Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner - University Medical Center Tucson Campus | Tucson, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner-university Medical Group | 7719899871 | 1069 |
| Youngs Professional Services Llc | 2163524992 | 301 |
| Entity Name | Banner-university Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694 |
| Entity Name | Kingman Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265423917 PECOS PAC ID: 6901791367 Enrollment ID: O20040216001173 |
| Entity Name | Northwest Hbp Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407353006 PECOS PAC ID: 8921356536 Enrollment ID: O20180730001756 |
| Entity Name | Ias Arizona Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689359747 PECOS PAC ID: 7517312648 Enrollment ID: O20231010003129 |
| Mailing Address | Practice Location Address |
|---|---|
| William Glyn Wagnon, MD 3810 Central Ave Ste H, Hot Springs, AR 71913-6921 Ph: (501) 525-5840 | William Glyn Wagnon, MD 6200 N La Cholla Blvd, Tucson, AZ 85741-3529 Ph: (520) 742-9000 |
Holly Jeanne Graham, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5301 E Grant Rd, Thmep, Tucson, AZ 85712 Phone: 520-324-5095 | |
Dr. Ryan William Matika, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Department Of Anesthesiology, 1501 N. Campbell Avenue, Tucson, AZ 85724 Phone: 520-626-7221 | |
Kevin Evans, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2810 N Swan Rd Ste 100, Tucson, AZ 85712 Phone: 520-324-2030 Fax: 520-445-6019 | |
Dr. Rhesa Screven Farmer Iii, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3390 N Campbell Ave, Ste 110, Tucson, AZ 85719 Phone: 520-795-7650 Fax: 520-325-1622 | |
Stuart Hameroff, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1501 N Campbell Ave, Tucson, AZ 85724 Phone: 520-694-8888 Fax: 520-626-6066 | |
Dr. David Bruce Longenecker, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3390 N Campbell Ave, Suite 110, Tucson, AZ 85719 Phone: 520-795-7650 | |
Christopher J Karasch, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1625 N Campbell Ave, Tucson, AZ 85719 Phone: 520-626-7141 |