Mrs Lane Gray Wagnon, NP - Medicare Nurse Practitioner in Conway, AR

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Mrs Lane Gray Wagnon, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Conway, Arkansas. She graduated from nursing school in 2005 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Conway Regional Medical Center Inc and her current practice location is 525 Western Ave, Suite 202, Conway, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 513-5337.

Mrs Lane Gray Wagnon is licensed to practice in Arkansas (license number A02902) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871756395.

Contact Information

Mrs Lane Gray Wagnon, NP
525 Western Ave, Suite 202,
Conway, AR 72034-4967
(501) 513-5337
(501) 513-5338

Map and Direction




Provider's Profile

Full NameMrs Lane Gray Wagnon
GenderFemale
SpecialityNurse Practitioner
Experience20 Years
Location525 Western Ave, Conway, Arkansas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Lane Gray Wagnon graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1871756395
  • Provider Enumeration Date: 07/03/2008
  • Last Update Date: 08/13/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3577865203
  • Enrollment ID: I20161230000056

Medical Identifiers

Medical identifiers for Mrs Lane Gray Wagnon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871756395NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health A02902 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Conway Regional Health SystemConway, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Conway Regional Medical Center Inc3173428414133

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 Lane Gray Wagnon allows following entities to bill medicare on her behalf.
Entity NameConway Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538615927
PECOS PAC ID: 3173428414
Enrollment ID: O20161014001291
Entity NameConway Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538615927
PECOS PAC ID: 3173428414
Enrollment ID: O20161018002492
Entity NameBetter Life Heart Therapy Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679104467
PECOS PAC ID: 4385054261
Enrollment ID: O20201104000720

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 Lane Gray Wagnon 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 AddressPractice Location Address
Mrs Lane Gray Wagnon, NP
525 Western Ave, Suite 202,
Conway, AR 72034-4967

Ph: (501) 513-5337		Mrs Lane Gray Wagnon, NP
525 Western Ave, Suite 202,
Conway, AR 72034-4967

Ph: (501) 513-5337

Reviews and Comments


Nurse Practitioner Nurses in Conway, AR

Mckenzie Lauren Cotton, APRN, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 1065 Skyline Dr, Conway, AR 72032
Phone: 501-499-6222    
Cynthia Lou Grubbs, APN
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Practice Location: 495 Hogan Ln, Conway, AR 72034
Phone: 501-327-1150    Fax: 501-327-3427
Mrs. Leah Maranda Martin, ANP
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Practice Location: 1014 Harkrider St, Suite B, Conway, AR 72032
Phone: 501-327-7100    Fax: 501-279-9011
Keisha A. Fox,
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Medicare: Accepting Medicare Assignments
Practice Location: 350 Salem Rd Ste 1, Conway, AR 72034
Phone: 479-518-4977    Fax: 479-203-3030
Mrs. Shakenia A Tate, APRN
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Practice Location: 150 E Siebenmorgen Rd, Conway, AR 72032
Phone: 501-329-6851    
David Adam Steinfeld, CNP
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Medicare: Accepting Medicare Assignments
Practice Location: 855 S German Ln Ste 1, Conway, AR 72034
Phone: 501-358-6606    Fax: 501-325-5554
Nedra Allen-jones, APRN
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Medicare: Accepting Medicare Assignments
Practice Location: 161 Skunk Hollow Road, Conway, AR 72032
Phone: 501-733-1926    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.