Meredith Wall Wagner, MD in Chattanooga, TN

Meredith Wall Wagner, MD is a medicare enrolled "Dermatology" physician in Chattanooga, Tennessee. She graduated from medical school in 2013 and has 12 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Siu Physicians And Surgeons Inc and her current practice location is 1110 Market St Ste 210, Chattanooga, Tennessee. You can reach out to her office (for appointments etc.) via phone at (629) 800-5118.

Meredith Wall Wagner is licensed to practice in Tennessee (license number 58455) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1316380694.

Contact Information

	Meredith Wall Wagner, MD
	1110 Market St Ste 210, Chattanooga, TN 37402-2873
	(629) 800-5118
	(423) 498-9908

Map and Direction

Physician's Profile

Full Name	Meredith Wall Wagner
Gender	Female
Speciality	Dermatology
Experience	12 Years
Location	1110 Market St Ste 210, Chattanooga, Tennessee
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Meredith Wall Wagner graduated from medical school in 2013

NPI Data:

NPI Number: 1316380694
Provider Enumeration Date: 04/16/2013
Last Update Date: 08/08/2025

Medicare PECOS Information:

PECOS PAC ID: 3678713955
Enrollment ID: I20230918002243

Medical Identifiers

Medical identifiers for Meredith Wall Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316380694	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	MD.48544 (Alabama)	Secondary
207N00000X	Dermatology	036.165930 (Illinois)	Secondary
207N00000X	Dermatology	58455 (Tennessee)	Primary
207N00000X	Dermatology	A146514 (California)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Siu Physicians And Surgeons Inc	2365352820	290

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. Meredith Wall Wagner allows following entities to bill medicare on her behalf.

Entity Name	Siu Physicians & Surgeons Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558385989 PECOS PAC ID: 2365352820 Enrollment ID: O20031222000769

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. Meredith Wall Wagner 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
Meredith Wall Wagner, MD Po Box 38567, Germantown, TN 38183-0567 Ph: (760) 472-3064	Meredith Wall Wagner, MD 1110 Market St Ste 210, Chattanooga, TN 37402-2873 Ph: (629) 800-5118

Reviews and Comments

Dermatology Doctors in Chattanooga, TN

Dr. Vlatka Agnetta, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2358 Lifestyle Way Ste 212, Chattanooga, TN 37421 Phone: 423-521-1100 Fax: 423-521-1200
Emily Nicole Delaney, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1247 Riverfront Pkwy Ste 205, Chattanooga, TN 37402 Phone: 423-521-4232
Dr. Jason Rodney Susong, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2158 Northgate Park Ln Ste 106, Chattanooga, TN 37415 Phone: 423-888-3376
Mary Kathleen Shuster, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1726 Gunbarrel Rd Ste 200, Chattanooga, TN 37421 Phone: 423-954-9017 Fax: 423-498-1597
Wesley King Galen, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 910 Blackford St, Chattanooga, TN 37403 Phone: 423-778-5445 Fax: 423-778-3157
Michael Young-woon Chung, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2358 Lifestyle Way Ste 212, Chattanooga, TN 37421 Phone: 423-521-1100

Meredith Wall Wagner, MD - Medicare Dermatology in Chattanooga, TN