| Dr Laci Desirae Waner, MD | |
|
2710 Oak Rdg, Clifton, TX 76634-1162 | |
| (254) 424-1243 | |
| (502) 385-6556 |
| Full Name | Dr Laci Desirae Waner |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 2710 Oak Rdg, Clifton, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487975827 | NPI | - | NPPES |
| 369616303 | Medicaid | TX | |
| 369616301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 29766 (Oklahoma) | Secondary |
| 207Q00000X | Family Medicine | ME143348 (Florida) | Secondary |
| 207Q00000X | Family Medicine | R1902 (Texas) | Primary |
| Entity Name | Plushcare Of California Inc A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811378987 PECOS PAC ID: 2365707163 Enrollment ID: O20210813002541 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Laci Desirae Waner, MD 2710 Oak Rdg, Clifton, TX 76634-1162 Ph: (979) 575-7936 | Dr Laci Desirae Waner, MD 2710 Oak Rdg, Clifton, TX 76634-1162 Ph: (254) 424-1243 |
Taylor Mccain, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Posey Ave, Clifton, TX 76634 Phone: 254-675-8621 Fax: 254-675-2254 | |
Lance C Robinson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Posey Ave, Clifton, TX 76634 Phone: 254-675-8621 Fax: 254-675-2254 | |
Christopher Neal Strong, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Posey Ave, Clifton, TX 76634 Phone: 254-675-8621 Fax: 254-675-2254 | |
Dr. Kyle Dean Phillips, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Posey Ave, Clifton, TX 76634 Phone: 254-675-8621 Fax: 254-675-2254 | |
Dr. Kevin J Blanton, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Posey Ave, Clifton, TX 76634 Phone: 254-675-8621 Fax: 254-675-2254 | |
Dr. Skylar Kirk Bizzell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Posey Ave, Clifton, TX 76634 Phone: 254-675-8621 Fax: 254-675-2254 |