NPIMap

T W Wagner Inc

A Medicare group practice based in Lepanto, AR: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 1153359096), with 9 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1153359096The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
AR
Enrollments
3
Group size
9 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 4 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20050801000974 AR Part A Provider - Rural Health Clinic 1548244171
O20050830000950 AR Part B Supplier - Clinic/Group Practice 1720183031
O20250228002698 AR Part A Provider - Rural Health Clinic 1114734969

NPIs in this group 3

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 9

Clinicians who reassign their Medicare benefits to this group (9) or whom Care Compare lists as members (9).

Sources for this page