MR. PHILIP WAGENBACH PA-C
NPI 1790797116
Physician Assistant - Medical in Bomoseen, VT
About Mr. Philip Wagenbach Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. PHILIP WAGENBACH PA-C (NPI 1790797116) is an individual medical provider in Bomoseen, Vermont, licensed in Vermont (055-0031268) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Rutland Regional Medical Center, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Philip Wagenbach Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Rutland Regional Medical Center
Acute Care Hospitals · Rutland, VTOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOMOSEEN, VT 05732
BOMOSEEN, VT 05732
BOMOSEEN, VT 05732
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Philip Wagenbach's NPI number?
The NPI number for Philip Wagenbach is 1790797116. It was assigned to this individual provider in the NPPES registry on August 13, 2006.
Where is Philip Wagenbach located?
Philip Wagenbach practices at 275 Route 30 N, Bomoseen, VT 05732. The listed phone number is (802) 468-5641.
What is Philip Wagenbach's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Philip Wagenbach enrolled in Medicare?
Yes. Philip Wagenbach is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Philip Wagenbach accept?
Health plans from Anthem Blue Cross and Blue Shield list Philip Wagenbach as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Philip Wagenbach affiliated with any hospitals?
According to CMS data, Philip Wagenbach is affiliated with Rutland Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Philip Wagenbach was last updated on October 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Philip Wagenbach, PA-C · NPI 1790797116
Medical physician in Bomoseen, Vermont. Individual provider, active in the CMS NPPES registry since August 13, 2006.
## Identity
- **NPI:** 1790797116 (Entity type: Individual)
- **Enumerated:** August 13, 2006
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 055-0031268 (Vermont)
- **Sole proprietor:** No
## Practice location
- **Address:** 275 ROUTE 30 N, Bomoseen, VT 05732-9647
- **Phone:** (802) 468-5641 · **Fax:** (802) 468-2923
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** October 5, 2015
- **Other identifiers:** Medicare UPIN Q58322 (CT)
---
Source: [NPI Profile](https://npiprofile.com/npi/1790797116) · Data from the CMS NPPES public registry.