Dr Peter Steven Wagoner, OD is a medicare enrolled "Optometrist" provider in Westhampton Beach, New York. He graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as Optometry. His current practice location is
16 Old Riverhead Rd, Westhampton Beach, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 903-3348.
Dr Peter Steven Wagoner is licensed to practice in New York (license number 009237) 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 1952824211.
Healthcare Provider's Profile
| Full Name | Dr Peter Steven Wagoner |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 9 Years |
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| Location | 16 Old Riverhead Rd, Westhampton Beach, New York |
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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. |
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Medical Education and Training:
- Dr Peter Steven Wagoner graduated from medical school in 2017
NPI Data:
- NPI Number: 1952824211
- Provider Enumeration Date: 07/19/2017
- Last Update Date: 08/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 9335411677
- Enrollment ID: I20201117002681
Medical Identifiers
Medical identifiers for Dr Peter Steven Wagoner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952824211 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | OD60770099 (Washington) | Secondary |
| 152W00000X | Optometrist | 009237 (New York) | 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. Dr Peter Steven Wagoner 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 |
|---|
Dr Peter Steven Wagoner, OD
16 Old Riverhead Rd Ste B,
Westhampton Beach, NY 11978-1401
Ph: (631) 898-5000 | Dr Peter Steven Wagoner, OD
16 Old Riverhead Rd,
Westhampton Beach, NY 11978-1401
Ph: (631) 903-3348 |
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