Meredith Wall Wagner, MD in Memphis, TN

Meredith Wall Wagner, MD is a medicare enrolled "Dermatology" physician in Memphis, Tennessee. She graduated from medical school in 2013 and has 11 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 6254 Poplar Ave, Memphis, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 624-3333.

Meredith Wall Wagner is licensed to practice in Illinois (license number 036.165930) 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
	6254 Poplar Ave, Memphis, TN 38119
	(901) 624-3333
	Not Available

Map and Direction

Physician's Profile

Full Name	Meredith Wall Wagner
Gender	Female
Speciality	Dermatology
Experience	11 Years
Location	6254 Poplar Ave, Memphis, 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: 08/11/2023

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	036.165930 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Decatur Memorial Hospital	Decatur, IL	Hospital
Memorial Medical Center	Springfield, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Siu Physicians And Surgeons Inc	2365352820	275

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 6254 Poplar Ave, Memphis, TN 38119-4713 Ph: (901) 624-3333	Meredith Wall Wagner, MD 6254 Poplar Ave, Memphis, TN 38119 Ph: (901) 624-3333

Reviews and Comments

Dermatology Doctors in Memphis, TN

Dr. Emily T. Overholser, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1455 Union Ave, Memphis, TN 38104 Phone: 901-726-6655 Fax: 901-726-9056
Dr. Maureen Poh, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132 Phone: 901-448-2300 Fax: 901-448-6657
Dr. Robert B Skinner, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132 Phone: 901-448-2300 Fax: 901-448-6657
Dr. Mark Harris Tanenbaum, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 760 Brookhaven Circle, Memphis, TN 38117 Phone: 901-761-0500 Fax: 901-761-0537
Dr. Alan Harris Tanenbaum, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 760 E Brookhaven Cir, Memphis, TN 38117 Phone: 901-761-0500
Dr. Courtney Stroupe Woodmansee, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1455 Union Ave, Memphis, TN 38104 Phone: 901-726-6655
Dr. Srinidhi Reddy Pulusani, MD Dermatology Medicare: Medicare Enrolled Practice Location: 930 Madison Ave Ste 801, Memphis, TN 38103 Phone: 901-866-8805 Fax: 901-302-2790

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