Erin R Van Wagenen, MD in Lewiston, ME

Erin R Van Wagenen, MD is a medicare enrolled "Pediatrics" physician in Lewiston, Maine. Her current practice location is 12 High St Ste 302, Lewiston, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 795-5730.

Erin R Van Wagenen is licensed to practice in Maine (license number MD20134) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124314513.

Contact Information

	Erin R Van Wagenen, MD
	12 High St Ste 302, Lewiston, ME 04240-7690
	(207) 795-5730
	(207) 795-5749

Map and Direction

Physician's Profile

Full Name	Erin R Van Wagenen
Gender	Female
Speciality	Pediatrics
Location	12 High St Ste 302, Lewiston, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124314513
Provider Enumeration Date: 06/23/2011
Last Update Date: 11/06/2025

Medicare PECOS Information:

PECOS PAC ID: 5294969077
Enrollment ID: I20230302002006

Medical Identifiers

Medical identifiers for Erin R Van Wagenen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124314513	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD20134 (Maine)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Erin R Van Wagenen allows following entities to bill medicare on her behalf.

Entity Name	Bridgton Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154370153 PECOS PAC ID: 8123919099 Enrollment ID: O20040322000534

Entity Name	Central Maine Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689653487 PECOS PAC ID: 2567379563 Enrollment ID: O20040324000441

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. Erin R Van Wagenen 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
Erin R Van Wagenen, MD 12 High St Ste 302, Lewiston, ME 04240-7690 Ph: (207) 795-5730	Erin R Van Wagenen, MD 12 High St Ste 302, Lewiston, ME 04240-7690 Ph: (207) 795-5730

Reviews and Comments

Pediatrics Doctors in Lewiston, ME

Stephanie Boggs, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Main St, Lewiston, ME 04240 Phone: 207-795-0111
Ambia Ahmed, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 12 High St Ste 302, Lewiston, ME 04240 Phone: 207-795-5730
Marly Leigh Biermann, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Main St, Lewiston, ME 04240 Phone: 207-795-7575 Fax: 207-344-0350
Kathleen S Bain, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12 High St, Ste 301, Lewiston, ME 04240 Phone: 207-795-5730 Fax: 207-795-5749
Dr. Kathlyn Valleau Wilde, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 33 Mollison Way, Lewiston, ME 04240 Phone: 207-784-5784 Fax: 207-783-9268
Amy Belisle, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12 High St, Suite 200, Lewiston, ME 04240 Phone: 207-795-0111

Erin R Van Wagenen, MD - Medicare Pediatrics in Lewiston, ME