Philip L Wackel

Pediatric Cardiology | Male

---

Complete Profile:

Philip L Wackel basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Philip L Wackel
Gender :	Male

Business Address:

Philip L Wackel address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	200 1st St Sw Rochester, MN, 55905-0001 United States
Phone Number :	507-284-2511

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1982800645
NPI Entity Type :	Individual
First Enrolment Date :	21 Jun, 2007
Last Updated On :	21 Aug, 2020

Medicare Participation:

Philip L Wackel participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	0345465183
Medicare Enrollment ID :	I20140710001224
Primary Specialty :	Cardiovascular Disease (cardiology)
Medical School :	University Of Nebraska College Of Medicine
Graduation Year :	2007
Accepts Medicare?	Yes. Philip L Wackel accepts medicare insurance.

Group Practice Association:

Philip L Wackel is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Philip L Wackel is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Mayo Clinic Health System-southeast Minnesota Region	4385556703	706	200 1st St Sw Rochester, MN - 559050001 Ph: 5072842511	Yes
Mayo Clinic Health System-southeast Minnesota Region	4385556703	706	404 W Fountain St Albert Lea, MN - 560072437 Ph: 5073732384	Yes
Mayo Clinic Health System-southwest Minnesota Region	4688585771	551	200 1st St Sw Rochester, MN - 559050001	Yes
Mayo Clinic	6507778255	4109	200 1st St Sw Rochester, MN - 559050001	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Philip L Wackel are as mentioned. Primary taxonomy code for Philip L Wackel is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	107551	MN
2080P0202X	Pediatrics Pediatric Cardiology	Yes	58258	MN

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	200 1st St Sw Rochester, MN, 55905-0001 United States
Phone Number :	507-284-2511

Business Location:

Patients can refer following map for directions to Philip L Wackel practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.