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CHARLOTTE BOWEN WAGAMON M.D.
NPI 1154397693
Internal Medicine in Meadville, PA

Active since February 24, 2006Opted out of Medicare · through Oct 3, 2027
15957 CONNEAUT LAKE ROAD SUITE 3, MEADVILLE, PA 16335(440) 858-3175(814) 724-5295 Get Directions Write a Review

NPPES record last updated: March 5, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charlotte Bowen Wagamon M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLOTTE BOWEN WAGAMON M.D. (NPI 1154397693) is an individual internal medicine provider in Meadville, Pennsylvania, licensed in Pennsylvania (MD044011L) and active in the NPI registry since February 2006. She has opted out of Medicare through October 3, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1154397693
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameCHARLOTTE BOWEN WAGAMONCredential: M.D.
Location Address15957 CONNEAUT LAKE ROAD SUITE 3Meadville, PA 16335
Mailing Address15957 Conneaut Lake Road Suite 3Meadville, PA 16335 · (440) 858-3175 · Fax (814) 724-5295
Phone(440) 858-3175
Fax(814) 724-5295
Sole ProprietorNo
Enumeration DateFebruary 24, 2006
Last NPPES UpdateMarch 5, 2019
✔ NPI 1154397693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD044011L
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
15957 CONNEAUT LAKE ROAD SUITE 3, Meadville, PA 16335
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Charlotte Bowen Wagamon M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 3, 2015 through October 3, 2027.

Opt-Out Effective DateOctober 3, 2015
Opt-Out In Effect ThroughOctober 3, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16335 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charlotte Wagamon's NPI number?

The NPI number for Charlotte Wagamon is 1154397693. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is Charlotte Wagamon located?

Charlotte Wagamon practices at 15957 Conneaut Lake Road Suite 3, Meadville, PA 16335. The listed phone number is (440) 858-3175.

What is Charlotte Wagamon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Charlotte Wagamon enrolled in Medicare?

No. Charlotte Wagamon has opted out of Medicare through October 3, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Charlotte Wagamon was last updated on March 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.