Keith William Wagoner, BSN, RN-BC - Registered Nurse in Kemp, TX

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Keith William Wagoner, BSN, RN-BC is a Registered Nurse - Gerontology based in Kemp, Texas. Keith William Wagoner is licensed to practice in Texas (license number 919371) and his current practice location is 110 N State Highway 274, Kemp, Texas. He can be reached at his office (for appointments etc.) via phone at (430) 255-2199.

NPI number for Keith William Wagoner is 1407673593 and his current mailing address is 105 Arapaho Trl, Mabank, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407673593.

Contact Information

Keith William Wagoner, BSN, RN-BC
110 N State Highway 274,
Kemp, TX 75143-4617
(430) 255-2199
Not Available

Map and Direction




Provider's Profile

Full NameKeith William Wagoner
GenderMale
SpecialityRegistered Nurse - Gerontology
Location110 N State Highway 274, Kemp, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1407673593
  • Provider Enumeration Date: 09/20/2024
  • Last Update Date: 09/20/2024

Medical Identifiers

Medical identifiers for Keith William Wagoner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407673593NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WG0600XRegistered Nurse - Gerontology 919371 (Texas)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. Keith William Wagoner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Keith William Wagoner, BSN, RN-BC
105 Arapaho Trl,
Mabank, TX 75156-9176

Ph: (903) 603-3979		Keith William Wagoner, BSN, RN-BC
110 N State Highway 274,
Kemp, TX 75143-4617

Ph: (430) 255-2199

Reviews and Comments


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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.