Donnelle I Wagner, DNP in Fort Smith, AR - Medicare Nurse Practitioner

Donnelle I Wagner, DNP is a medicare enrolled "Nurse Practitioner - Family" in Fort Smith, Arkansas. Her current practice location is 4620 Rogers Ave, Fort Smith, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 384-5380.

Donnelle I Wagner is licensed to practice in Arkansas (license number ATP000123) 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 1225213812.

Contact Information

	Donnelle I Wagner, DNP
	4620 Rogers Ave, Fort Smith, AR 72903-3149
	(479) 384-5380
	(479) 384-5382

Map and Direction

Provider's Profile

Full Name	Donnelle I Wagner
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4620 Rogers Ave, Fort Smith, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225213812
Provider Enumeration Date: 01/02/2008
Last Update Date: 09/13/2024

Medicare PECOS Information:

PECOS PAC ID: 7214008036
Enrollment ID: I20080620000471

Medical Identifiers

Medical identifiers for Donnelle I Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225213812	NPI	-	NPPES
168334758	Medicaid	AR
200130940A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	ATP000123 (Arkansas)	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. Donnelle I Wagner allows following entities to bill medicare on her behalf.

Entity Name	Mercy Northwest Arkansas Ambulatory Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366922320 PECOS PAC ID: 3779827993 Enrollment ID: O20181129000273

Entity Name	Wound Solutions Of Nwa Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043904261 PECOS PAC ID: 7517321466 Enrollment ID: O20230912001308

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. Donnelle I 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 Address	Practice Location Address
Donnelle I Wagner, DNP 4620 Rogers Ave, Fort Smith, AR 72903-3149 Ph: (479) 384-5380	Donnelle I Wagner, DNP 4620 Rogers Ave, Fort Smith, AR 72903-3149 Ph: (479) 384-5380

Reviews and Comments

Nurse Practitioner Nurses in Fort Smith, AR

Valentina Nastasi, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7600 Rogers Ave, Fort Smith, AR 72903 Phone: 479-226-8340
Mrs. Tonya Renea Allen, APRN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3112 S 70th St, Fort Smith, AR 72903 Phone: 479-452-8600
Mandi T Williams, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7217 Cameron Park Dr, Fort Smith, AR 72903 Phone: 479-831-6007 Fax: 479-782-1242
Tracy Lynn Fisher, APN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4900 Kelley Hwy, Fort Smith, AR 72904 Phone: 479-785-5700 Fax: 479-785-5708
Mrs. Athena Frangos-pasley, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 Dodson Ave, Fort Smith, AR 72901 Phone: 479-709-6850
Mrs. Gayla Denise Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 479-484-6000
Dabney Herrold, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3420 S 74th St, Fort Smith, AR 72903 Phone: 479-573-3740

Donnelle I Wagner, DNP - Medicare Nurse Practitioner in Fort Smith, AR