EILEEN WEGENER MD
NPI 1174181630
Internal Medicine in Medford, MA
About Eileen Wegener Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EILEEN WEGENER MD (NPI 1174181630) is an individual internal medicine provider in Medford, Massachusetts, licensed in Massachusetts (295103) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Melrosewakefield Healthcare, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Eileen Wegener Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Eileen Wegener reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Medford, MA 02155
- Reassigned Medicare billing, Massachusetts enrollment
- 246 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Melrosewakefield Healthcare
Acute Care Hospitals · Melrose, MAMassachusetts Eye And Ear Infirmary -
Acute Care Hospitals · Boston, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02155 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MEDFORD, MA 02155
MEDFORD, MA 02155
MEDFORD, MA 02155
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 Eileen Wegener's NPI number?
The NPI number for Eileen Wegener is 1174181630. It was assigned to this individual provider in the NPPES registry on May 30, 2019.
Where is Eileen Wegener located?
Eileen Wegener practices at 170 Governors Ave, Medford, MA 02155. The listed phone number is (781) 306-6102.
What is Eileen Wegener's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Eileen Wegener enrolled in Medicare?
Yes. Eileen Wegener is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Eileen Wegener's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eileen Wegener reassigns Medicare benefits to Hallmark Health Medical Associates Inc (Medford, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eileen Wegener's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Eileen Wegener accept?
Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Eileen Wegener as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Eileen Wegener affiliated with any hospitals?
According to CMS data, Eileen Wegener is affiliated with Melrosewakefield Healthcare and Massachusetts Eye And Ear Infirmary -.
When was this NPI record last updated?
The NPPES record for Eileen Wegener was last updated on September 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Eileen Wegener, MD · NPI 1174181630
Internal Medicine physician in Medford, Massachusetts. Individual provider, active in the CMS NPPES registry since May 30, 2019.
## Identity
- **NPI:** 1174181630 (Entity type: Individual)
- **Enumerated:** May 30, 2019
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 295103 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 170 GOVERNORS AVE, Medford, MA 02155-1643
- **Phone:** (781) 306-6102
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Hallmark Health Medical Associates Inc (NPI 1770563900, Medford, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 23, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1174181630) · Data from the CMS NPPES public registry.