Dr Andrea Sue Wenner, DO in Nacogdoches, TX

Dr Andrea Sue Wenner, DO is a medicare enrolled "Pediatrics" physician in Nacogdoches, Texas. Her current practice location is 4604 Ne Stallings Dr, Nacogdoches, Texas. You can reach out to her office (for appointments etc.) via phone at (936) 560-5668.

Dr Andrea Sue Wenner is licensed to practice in Texas (license number BP10043663) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073871976.

Contact Information

	Dr Andrea Sue Wenner, DO
	4604 Ne Stallings Dr, Nacogdoches, TX 75965-1608
	(936) 560-5668
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Andrea Sue Wenner
Gender	Female
Speciality	Pediatrics
Location	4604 Ne Stallings Dr, Nacogdoches, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073871976
Provider Enumeration Date: 04/27/2012
Last Update Date: 05/07/2026

Medicare PECOS Information:

PECOS PAC ID: 1759692627
Enrollment ID: I20150618001352

Medical Identifiers

Medical identifiers for Dr Andrea Sue Wenner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073871976	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	BP10043663 (Texas)	Primary

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. Dr Andrea Sue Wenner allows following entities to bill medicare on her behalf.

Entity Name	East Texas Community Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255367090 PECOS PAC ID: 9830089796 Enrollment ID: O20040316001153

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. Dr Andrea Sue Wenner 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
Dr Andrea Sue Wenner, DO 161 Cardova Dr, Max Meadows, VA 24360-3651 Ph: (936) 371-1900	Dr Andrea Sue Wenner, DO 4604 Ne Stallings Dr, Nacogdoches, TX 75965-1608 Ph: (936) 560-5668

Reviews and Comments

Pediatrics Doctors in Nacogdoches, TX

Dr. Melinda E. Wenner, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 4604 Ne Stallings Dr, Nacogdoches, TX 75965 Phone: 936-560-5668
Dr. James Knox Dowling, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2106 N. Raguet, Nacogdoches, TX 75961 Phone: 936-468-4008 Fax: 936-468-1316
Dr. Ryan Head, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 625 Russell Blvd, Nacogdoches, TX 75965 Phone: 936-305-5050 Fax: 963-305-5151
Mrs. Modupe Arinuke Sokunbi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 626 Russell Blvd, Suite A, Nacogdoches, TX 75965 Phone: 936-552-7216 Fax: 936-552-7274
Dr. Amy Huggins, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3614 N University Dr, Nacogdoches, TX 75965 Phone: 936-560-9000 Fax: 936-560-9009
Dr. Mary F. Barnette, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3614 N University Dr, Nacogdoches, TX 75965 Phone: 936-560-9000 Fax: 936-560-9009

Dr Andrea Sue Wenner, DO - Medicare Pediatrics in Nacogdoches, TX