Mary Lanier Huntley-wagner, FNP - Medicare Nurse Practitioner in Virginia Beach, VA

  1. Home
  2. Nurse Practitioner
  3. VA
  4. Virginia Beach
Mary Lanier Huntley-wagner, FNP is a medicare enrolled "Nurse Practitioner - Family" in Virginia Beach, Virginia. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tidewater Physicians Multispecialty Group Pc and her current practice location is 813 Independence Blvd, Virginia Beach, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 333-7625.

Mary Lanier Huntley-wagner is licensed to practice in Virginia (license number 0024168926) 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 1376775098.

Contact Information

Mary Lanier Huntley-wagner, FNP
813 Independence Blvd,
Virginia Beach, VA 23455-6004
(757) 333-7625
Not Available

Map and Direction




Provider's Profile

Full NameMary Lanier Huntley-wagner
GenderFemale
SpecialityNurse Practitioner
Experience15 Years
Location813 Independence Blvd, Virginia Beach, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mary Lanier Huntley-wagner graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1376775098
  • Provider Enumeration Date: 08/13/2009
  • Last Update Date: 12/02/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9830313170
  • Enrollment ID: I20160526002556

Medical Identifiers

Medical identifiers for Mary Lanier Huntley-wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376775098NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0024168926 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sentara Virginia Beach General HospitalVirginia beach, VAHospital
Sentara Leigh HospitalNorfolk, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tidewater Physicians Multispecialty Group Pc2860398526246

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. Mary Lanier Huntley-wagner allows following entities to bill medicare on her behalf.
Entity NameTidewater Physicians Multispecialty Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902848294
PECOS PAC ID: 2860398526
Enrollment ID: O20031211000980
Entity NamePrivia Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013042480
PECOS PAC ID: 4385682061
Enrollment ID: O20140603000011

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. Mary Lanier Huntley-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 AddressPractice Location Address
Mary Lanier Huntley-wagner, FNP
860 Omni Blvd Ste 101,
Newport News, VA 23606-4430

Ph: (757) 232-8769		Mary Lanier Huntley-wagner, FNP
813 Independence Blvd,
Virginia Beach, VA 23455-6004

Ph: (757) 333-7625

Reviews and Comments


Nurse Practitioner Nurses in Virginia Beach, VA

Dr. Ameanthea Rica Blanco-knezovich, DNP, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1300 Diamond Springs Rd, Ste 503, Virginia Beach, VA 23455
Phone: 757-656-1665    
Clotilde Jorgina Ramos, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456
Phone: 757-507-1000    
Tonja Marie Devolgado, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2075 Glenn Mitchell Dr Ste 512, Virginia Beach, VA 23456
Phone: 757-507-8850    
Stephanie Cole Oldfield, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 225 Clearfield Ave, Virginia Beach, VA 23462
Phone: 757-457-5110    Fax: 757-466-3411
Ms. Patricia G Dudley, RNC, MSN, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1080 First Colonial Rd, Suite 300, Virginia Beach, VA 23454
Phone: 757-481-7222    Fax: 757-390-2935
Keisha Monique Baxter,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 770 Lynnhaven Pkwy Ste 240, Virginia Beach, VA 23452
Phone: 757-802-4500    Fax: 757-226-9002
Anna Nicole Hatcher, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3960 Virginia Beach Blvd, Virginia Beach, VA 23452
Phone: 757-668-4648    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.