Mrs Diane Wanner, CRNP in Lancaster, PA - Medicare Nurse Practitioner

Mrs Diane Wanner, CRNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Lancaster, Pennsylvania. Her current practice location is 1950 Marietta Ave, Lancaster, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (717) 392-7986.

Mrs Diane Wanner is licensed to practice in Pennsylvania (license number SP014070) 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 1760881148.

Contact Information

	Mrs Diane Wanner, CRNP
	1950 Marietta Ave, Lancaster, PA 17603-2324
	(717) 392-7986
	(717) 295-7271

Map and Direction

Provider's Profile

Full Name	Mrs Diane Wanner
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	1950 Marietta Ave, Lancaster, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760881148
Provider Enumeration Date: 08/21/2014
Last Update Date: 01/13/2025

Medicare PECOS Information:

PECOS PAC ID: 0840513081
Enrollment ID: I20141219001455

Medical Identifiers

Medical identifiers for Mrs Diane Wanner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760881148	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	SP014070 (Pennsylvania)	Primary
163W00000X	Registered Nurse	RN566229 (Pennsylvania)	Secondary

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 Diane Wanner allows following entities to bill medicare on her behalf.

Entity Name	Family Practice Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154376937 PECOS PAC ID: 0244124212 Enrollment ID: O20040211000012

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 Diane Wanner 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 Diane Wanner, CRNP 7 Dock Hill Rd, Middleburg, PA 17842-8910 Ph: (570) 837-2123	Mrs Diane Wanner, CRNP 1950 Marietta Ave, Lancaster, PA 17603-2324 Ph: (717) 392-7986

Reviews and Comments

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Mrs Diane Wanner, CRNP - Medicare Nurse Practitioner in Lancaster, PA