Riley Carlton Wade Grogan, is a medicare enrolled "Nurse Practitioner" in Caraway, Arkansas. He graduated from nursing school in 2025 and has 0 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is
104 W State St, Caraway, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 956-0200.
Riley Carlton Wade Grogan is licensed to practice in Arkansas (license number 232785) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1477437283.
Provider's Profile
| Full Name | Riley Carlton Wade Grogan |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 0 Years |
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| Location | 104 W State St, Caraway, Arkansas |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Riley Carlton Wade Grogan graduated from nursing school in 2025
NPI Data:
- NPI Number: 1477437283
- Provider Enumeration Date: 08/04/2025
- Last Update Date: 08/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 7214435916
- Enrollment ID: I20250812002219
Medical Identifiers
Medical identifiers for Riley Carlton Wade Grogan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1477437283 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363L00000X | Nurse Practitioner | 232785 (Arkansas) | Primary |
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. Riley Carlton Wade Grogan 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 |
Riley Carlton Wade Grogan, 4196 Highway 62 412 Ste A, Hardy, AR 72542-8002 Ph: (870) 856-2100 | Riley Carlton Wade Grogan, 104 W State St, Caraway, AR 72419-8553 Ph: (870) 956-0200 |
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