Mrs Lane Gray Wagnon, NP in Conway, AR - Medicare Nurse Practitioner

Mrs Lane Gray Wagnon, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Conway, Arkansas. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Conway Regional Medical Center Inc and her current practice location is 525 Western Ave, Suite 202, Conway, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 513-5337.

Mrs Lane Gray Wagnon is licensed to practice in Arkansas (license number A02902) 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 1871756395.

Contact Information

	Mrs Lane Gray Wagnon, NP
	525 Western Ave, Suite 202, Conway, AR 72034-4967
	(501) 513-5337
	(501) 513-5338

Map and Direction

Provider's Profile

Full Name	Mrs Lane Gray Wagnon
Gender	Female
Speciality	Nurse Practitioner
Experience	19 Years
Location	525 Western Ave, Conway, Arkansas
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:

Mrs Lane Gray Wagnon graduated from nursing school in 2005

NPI Data:

NPI Number: 1871756395
Provider Enumeration Date: 07/03/2008
Last Update Date: 08/13/2020

Medicare PECOS Information:

PECOS PAC ID: 3577865203
Enrollment ID: I20161230000056

Medical Identifiers

Medical identifiers for Mrs Lane Gray Wagnon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871756395	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	A02902 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Conway Regional Health System	Conway, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Conway Regional Medical Center Inc	3173428414	127

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. Mrs Lane Gray Wagnon allows following entities to bill medicare on her behalf.

Entity Name	Conway Regional Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538615927 PECOS PAC ID: 3173428414 Enrollment ID: O20161014001291

Entity Name	Conway Regional Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538615927 PECOS PAC ID: 3173428414 Enrollment ID: O20161018002492

Entity Name	Better Life Heart Therapy Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679104467 PECOS PAC ID: 4385054261 Enrollment ID: O20201104000720

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. Mrs Lane Gray Wagnon 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
Mrs Lane Gray Wagnon, NP 525 Western Ave, Suite 202, Conway, AR 72034-4967 Ph: (501) 513-5337	Mrs Lane Gray Wagnon, NP 525 Western Ave, Suite 202, Conway, AR 72034-4967 Ph: (501) 513-5337

Reviews and Comments

Nurse Practitioner Nurses in Conway, AR

Marina Gray, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 495 Hogan Ln Ste 2, Conway, AR 72034 Phone: 501-358-6695 Fax: 501-358-6860
Mckenzie Lauren Cotton, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1065 Skyline Dr, Conway, AR 72032 Phone: 501-499-6222
Cynthia Lou Grubbs, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 495 Hogan Ln, Conway, AR 72034 Phone: 501-327-1150 Fax: 501-327-3427
Mrs. Leah Maranda Martin, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1014 Harkrider St, Suite B, Conway, AR 72032 Phone: 501-327-7100 Fax: 501-279-9011
Keisha A. Fox, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 Salem Rd Ste 1, Conway, AR 72034 Phone: 479-518-4977 Fax: 479-203-3030
Mrs. Shakenia A Tate, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 E Siebenmorgen Rd, Conway, AR 72032 Phone: 501-329-6851
David Adam Steinfeld, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 855 S German Ln Ste 1, Conway, AR 72034 Phone: 501-358-6606 Fax: 501-325-5554

Mrs Lane Gray Wagnon, NP - Medicare Nurse Practitioner in Conway, AR