Matthew A Waggoner, PA-C - Medicare Physician Assistant in Ann Arbor, MI

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Matthew A Waggoner, PA-C is a medicare enrolled "Physician Assistant" in Ann Arbor, Michigan. He graduated from nursing school in 2008 and has 18 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Mclaren Hospital Group, Trinity Medical Center, St. Mary's Healthcare, Genesis Health System and his current practice location is 1500 E Medical Center Dr, B1floor Cancer & Geriatrics Center Recp C, Ann Arbor, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 936-6000.

Matthew A Waggoner is licensed to practice in Michigan (license number 5601004953) 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 1710991732.

Contact Information

Matthew A Waggoner, PA-C
1500 E Medical Center Dr, B1floor Cancer & Geriatrics Center Recp C,
Ann Arbor, MI 48109-0916
(734) 936-6000
Not Available

Map and Direction




Provider's Profile

Full NameMatthew A Waggoner
GenderMale
SpecialityPhysician Assistant
Experience18 Years
Location1500 E Medical Center Dr, Ann Arbor, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Matthew A Waggoner graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1710991732
  • Provider Enumeration Date: 07/27/2006
  • Last Update Date: 04/18/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5496789596
  • Enrollment ID: I20070427000110

Medical Identifiers

Medical identifiers for Matthew A Waggoner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710991732NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 50002316 (Ohio)Secondary
363A00000XPhysician Assistant 5601004953 (Michigan)Primary
363A00000XPhysician Assistant 4369 (Wisconsin)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Trinity Rock IslandRock island, ILHospital
Mercyone Genesis Silvis Medical CenterSilvis, ILHospital
St Mary's HealthcareAmsterdam, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mclaren Hospital Group2365968351366
Trinity Medical Center226433751897
St. Mary's Healthcare7618960709114
Genesis Health System6103829338262

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. Matthew A Waggoner allows following entities to bill medicare on his behalf.
Entity NameAspirus Ironwood Hospital & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992704753
PECOS PAC ID: 9032013198
Enrollment ID: O20031121000096
Entity NameBronson Methodist Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013089820
PECOS PAC ID: 0244148633
Enrollment ID: O20040804000437
Entity NamePortage Physician Practices Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225461684
PECOS PAC ID: 6103053509
Enrollment ID: O20131210001058
Entity NamePortage Hospital LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245667229
PECOS PAC ID: 1951538883
Enrollment ID: O20140224000087
Entity NameMclaren Hospital Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942026174
PECOS PAC ID: 2365968351
Enrollment ID: O20250502001568

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. Matthew A Waggoner 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 AddressPractice Location Address
Matthew A Waggoner, PA-C
3621 S State St, 700 Kms Place,
Ann Arbor, MI 48108

Ph: (734) 936-2047		Matthew A Waggoner, PA-C
1500 E Medical Center Dr, B1floor Cancer & Geriatrics Center Recp C,
Ann Arbor, MI 48109-0916

Ph: (734) 936-6000

Reviews and Comments


Physician Assistant Nurses in Ann Arbor, MI

Carrie Kraeger Porter, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109
Phone: 734-936-6666    
Mrs. Katherine Ann Mccormack, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109
Phone: 734-936-4000    
Aubrey Lynn Boucher, PA-C
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Practice Location: 1500 East Medical Center Dr, 2nd Floor Taubman Center Recp F, Ann Arbor, MI 48109
Phone: 734-936-5738    
Ainslee Joy Rubino, MS, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109
Phone: 734-936-4000    
Cindy Felcher, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 1500 East Medical Center Drive, 2nd Floor Taubman Center Recp A, Ann Arbor, MI 48109
Phone: 734-936-5850    
Kelly M Oberhelman, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1500 East Medical Center Dr, 3rd Floor Taubman Center Recp D, Ann Arbor, MI 48109
Phone: 734-647-5944    
Ray Kendall Heaney, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109
Phone: 734-936-4000    

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.