Kyle L Wagamon, MD in Warren, OH - Medicare Dermatology

Kyle L Wagamon, MD is a medicare enrolled "Dermatology - Dermatopathology" physician in Warren, Ohio. He went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 2002 and has 22 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Brodell Medical Inc and his current practice location is 2660 E Market St, Warren, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 393-4000.

Kyle L Wagamon is licensed to practice in Ohio (license number 35083746) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780758003.

Contact Information

	Kyle L Wagamon, MD
	2660 E Market St, Warren, OH 44483-6204
	(330) 393-4000
	(330) 392-5870

Map and Direction

Physician's Profile

Full Name	Kyle L Wagamon
Gender	Male
Speciality	Dermatology
Experience	22 Years
Location	2660 E Market St, Warren, Ohio
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kyle L Wagamon attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2002

NPI Data:

NPI Number: 1780758003
Provider Enumeration Date: 11/20/2006
Last Update Date: 01/17/2014

Medicare PECOS Information:

PECOS PAC ID: 6507968385
Enrollment ID: I20070711000043

Medical Identifiers

Medical identifiers for Kyle L Wagamon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780758003	NPI	-	NPPES
7474933	Other	OH	AETNA
000000217451	Other	OH	UNISON
P00406585	Other	OH	RAILROAD MEDICARE
415051	Other	OH	WELLCARE
000000527821	Other	OH	ANTHEM
2754827	Medicaid	OH
748956	Other	OH	BUCKEYE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	35083746 (Ohio)	Secondary
207ND0900X	Dermatology - Dermatopathology	35083746 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mh St Joseph Warren Hospital	Warren, OH	Hospital
Trumbull Regional Medical Center	Warren, OH	Hospital
St Elizabeth Youngstown Hospital	Youngstown, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Brodell Medical Inc	6608769526	7

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. Kyle L Wagamon allows following entities to bill medicare on his behalf.

Entity Name	Brodell Medical Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922129659 PECOS PAC ID: 6608769526 Enrollment ID: O20040205000017

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. Kyle L Wagamon 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
Kyle L Wagamon, MD 19301 Cyclone Dr, Cleveland, OH 44135-1731 Ph: (330) 393-4000	Kyle L Wagamon, MD 2660 E Market St, Warren, OH 44483-6204 Ph: (330) 393-4000

Reviews and Comments

Dermatology Doctors in Warren, OH

Dr. Indira Krishnarao, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 735 Niles Cortland Rd Se, Warren, OH 44484 Phone: 330-856-6365 Fax: 330-609-5088
Rasnik Kaur Dulay, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1 American Way Ne, Warren, OH 44484 Phone: 330-856-8811 Fax: 330-856-8481
Dr. Rachel Lynn Delost, DO Dermatology Medicare: Medicare Enrolled Practice Location: 2223 Niles Cortland Rd Se, Warren, OH 44484 Phone: 330-965-8760 Fax: 330-469-9706
Morgan Hott, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 735 Niles Cortland Rd Se, Warren, OH 44484 Phone: 330-856-6365 Fax: 330-474-3981

Kyle L Wagamon, MD - Medicare Dermatology in Warren, OH