Mr Joshua James Wageman, PA-C, DPT, CSCS is a medicare enrolled "Physician Assistant" provider in Eagle, Idaho. His current practice location is
951 E Plaza Dr Ste 110, Eagle, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 274-9580.
Mr Joshua James Wageman is licensed to practice in Idaho (license number PA-1896) 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 1770925257.
Healthcare Provider's Profile
| Full Name | Mr Joshua James Wageman |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 951 E Plaza Dr Ste 110, Eagle, Idaho |
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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: 1770925257
- Provider Enumeration Date: 07/24/2013
- Last Update Date: 03/09/2021
Medicare PECOS Information:
- PECOS PAC ID: 8224441910
- Enrollment ID: I20210120000838
Medical Identifiers
Medical identifiers for Mr Joshua James Wageman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1770925257 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | PT-3184 (Idaho) | Secondary |
| 363A00000X | Physician Assistant | PA-1896 (Idaho) | 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. Mr Joshua James Wageman 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 |
Mr Joshua James Wageman, PA-C, DPT, CSCS 5049 E Geranium St, Boise, ID 83716-7044 Ph: (208) 870-1882 | Mr Joshua James Wageman, PA-C, DPT, CSCS 951 E Plaza Dr Ste 110, Eagle, ID 83616-6567 Ph: (208) 274-9580 |
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