Mrs Phyllis Thornton Waggoner, NP-C in Mechanicsville, VA

Mrs Phyllis Thornton Waggoner, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Mechanicsville, Virginia. Her current practice location is 8015 Cold Harbor Rd, Mechanicsville, Virginia. You can reach out to her office (for appointments etc.) via phone at (800) 640-3451.

Mrs Phyllis Thornton Waggoner is licensed to practice in Virginia (license number 0024173765) 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 1831542190.

Contact Information

	Mrs Phyllis Thornton Waggoner, NP-C
	8015 Cold Harbor Rd, Mechanicsville, VA 23111-1650
	(800) 640-3451
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Phyllis Thornton Waggoner
Gender	Female
Speciality	Nurse Practitioner - Family
Location	8015 Cold Harbor Rd, Mechanicsville, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831542190
Provider Enumeration Date: 07/21/2016
Last Update Date: 06/24/2025

Medicare PECOS Information:

PECOS PAC ID: 5395032536
Enrollment ID: I20161003000375

Medical Identifiers

Medical identifiers for Mrs Phyllis Thornton Waggoner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831542190	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0024173765 (Virginia)	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. Mrs Phyllis Thornton Waggoner allows following entities to bill medicare on her behalf.

Entity Name	Family Practice Associates Of Chesterfield Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306884820 PECOS PAC ID: 6507824075 Enrollment ID: O20041230000125

Entity Name	Minuteclinic Diagnostic Of Virginia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417076829 PECOS PAC ID: 6709960891 Enrollment ID: O20080228000067

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 Phyllis Thornton Waggoner 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 Phyllis Thornton Waggoner, NP-C Po Box 1200, Pleasant Grove, UT 84062-1200 Ph: (800) 640-3451	Mrs Phyllis Thornton Waggoner, NP-C 8015 Cold Harbor Rd, Mechanicsville, VA 23111-1650 Ph: (800) 640-3451

Reviews and Comments

Nurse Practitioner Nurses in Mechanicsville, VA

Demetria Barnes, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9498 Charter Gate Dr, Mechanicsville, VA 23116 Phone: 804-550-4914
Dr. Emily Joy Richardson, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8260 Atlee Rd, Mechanicsville, VA 23116 Phone: 804-764-6000
Heather Ryann Wade, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7497 Right Flank Rd, Mechanicsville, VA 23116 Phone: 804-746-8020
Pamela Shipp, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7507 Washington Arch Dr, Mechanicsville, VA 23111 Phone: 804-214-6460 Fax: 804-800-4060
Dalia Nour Elsayed, FNP/RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9351 Atlee Rd, Mechanicsville, VA 23116 Phone: 804-569-8246
Ms. Teresa Ann Wright, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8324 Bell Creek Rd Ste 100, Mechanicsville, VA 23116 Phone: 804-522-5146
Shelbie Leigh-ann Kidd, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9376 Atlee Station Rd, Mechanicsville, VA 23116 Phone: 804-730-0990

Mrs Phyllis Thornton Waggoner, NP-C - Medicare Nurse Practitioner in Mechanicsville, VA