Dr. Bret Bouton Wagenhorst is a Tifton, Georgia based male Ophthalmologist with 35 years of experience in Ophthalmology. He completed his graduation from Stanford University School Of Medicine in 1989. He is also affiliated with hospitals like Tift Regional Medical Center. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Bret Bouton Wagenhorst is 044138 for Ophthalmology in Georgia. Dr. Bret Bouton Wagenhorst is medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, patients can be prescribed vision services, including glasses and contact lenses.
Complete Profile:
Dr. Bret Bouton Wagenhorst speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Ophthalmology
Credentials:
M.D.
Experience:
35+ years
Medical School Attended:
Stanford University School Of Medicine
Graduation Year:
1989
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1803 Old Ocilla Rd, Tifton, Georgia, 31794-1617
Phone:
229-386-2181
Fax:
229-386-2193
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.
PAC ID:
1850567231
Enrollment ID:
I20120106000155
NPI Number:
1841201134
NPI Enumeration Date:
11 Aug, 2006
NPI Last Update On:
08 Mar, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Bret Bouton Wagenhorst are as mentioned below.
License Number
Specialization
State
Status
044138
Ophthalmology
Georgia
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Tift Regional Medical Center (110095)
Tifton, GA
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Bret Bouton Wagenhorst has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Tift Regional Health System Inc (2062745169)
276
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Bret Bouton Wagenhorst such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
077471001
Other
Georgia
CIGNA
00760856A
Medicaid
Georgia
180041335
Other
Georgia
RRMC
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
907 18th St E Ste 400, Tifton, Georgia
Zip:
31794-3684
Phone Number:
229-353-3450
Fax Number:
229-353-6060
Patients can reach Dr. Bret Bouton Wagenhorst at 1803 Old Ocilla Rd, Tifton, Georgia or can call to book an appointment on 229-386-2181. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
Similar Ophthalmologist in Tifton, GA
Dr. Robert Jon Holme, M.D. Speciality: Ophthalmologist Address: 1803 Old Ocilla Rd, GA Phone: 229-386-2181 Fax: 229-386-2193