| Lane Wyble, | |
|
2408 Broadmoor Blvd Ste B, Monroe, LA 71201-2994 | |
| (318) 807-0525 | |
| (318) 807-1077 |
| Full Name | Lane Wyble |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 2408 Broadmoor Blvd Ste B, Monroe, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720642390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN136523 (Louisiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 206936 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Conway Regional Health System | Conway, AR | Hospital |
| Northwest Medical Center-springdale | Springdale, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Springdale Bentonville Hbp Services Llc | 1052759263 | 94 |
| Faulkner Emergency Group, Pllc | 1557694049 | 19 |
| Entity Name | Faulkner Emergency Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083279533 PECOS PAC ID: 1557694049 Enrollment ID: O20190617000848 |
| Entity Name | Springdale Bentonville Hbp Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811762701 PECOS PAC ID: 1052759263 Enrollment ID: O20240408001674 |
| Entity Name | Fast Pace Mississippi Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982361259 PECOS PAC ID: 3678832029 Enrollment ID: O20240419001210 |
| Mailing Address | Practice Location Address |
|---|---|
| Lane Wyble, 130 Desiard St Ste 355, Monroe, LA 71201-7363 Ph: (318) 807-7875 | Lane Wyble, 2408 Broadmoor Blvd Ste B, Monroe, LA 71201-2994 Ph: (318) 807-0525 |
Brenda Thomason, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3510 Magnolia Cv, Monroe, LA 71203 Phone: 318-323-1100 Fax: 318-323-1161 | |
Nayana Shrestha, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 312 Grammont St Ste 411, Monroe, LA 71201 Phone: 318-966-6622 Fax: 318-966-6621 | |
Mr. Nicholas Colton Fisher, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Hart St, Monroe, LA 71201 Phone: 318-966-8300 Fax: 318-966-8301 | |
Miss Kandice Nicole Hunter, APRN, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4864 Jackson St, Monroe, LA 71202 Phone: 318-330-7000 | |
Anna Sartor Titus, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2408 Duval Dr, Monroe, LA 71201 Phone: 318-516-2611 | |
Mrs. Ellen Stewart Murray, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2802 Kilpatrick Blvd, Monroe, LA 71201 Phone: 318-855-6282 Fax: 318-855-6424 | |
Miss Matilda Elliott Stephens, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 Medical Park Dr Ste B, Monroe, LA 71203 Phone: 318-387-6803 Fax: 318-387-6874 |