Stephanie L Wagoner, APRN is a medicare enrolled "Nurse Practitioner - Family" in Evening Shade, Arkansas. Her current practice location is 
1477 Highway 167, Evening Shade, Arkansas. You can reach out to her office (for appointments etc.) via phone at 
(870) 283-2554.
Stephanie L Wagoner is licensed to practice in Arkansas (license number 214600) 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 1598350225.
				
				
				
				
				
		 
		
		 
Provider's Profile
		
			
			
			| Full Name | Stephanie L Wagoner | 
|---|
| Gender | Female | 
|---|
| Speciality |  | 
|---|
| Experience |  Years | 
|---|
| Location | 1477 Highway 167, Evening Shade, Arkansas | 
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. | 
			
			 
			
			  Medical Education and Training:
- Stephanie L Wagoner attended and graduated from  in 
 
			  NPI Data:
			
			- NPI Number: 1598350225
 - Provider Enumeration Date: 03/04/2021
 - Last Update Date: 03/04/2021
 			
			  Medicare PECOS Information:
- PECOS PAC ID: 
 - Enrollment ID: 
 
			 
		 
		 
Medical Identifiers
		Medical identifiers for Stephanie L Wagoner such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1598350225 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 363LF0000X | Nurse Practitioner - Family  | 214600 (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. Stephanie L Wagoner 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 | 
		Stephanie L Wagoner, APRN 1477 Highway 167, Evening Shade, AR 72532-9497 Ph: (870) 283-2554 | Stephanie L Wagoner, APRN 1477 Highway 167, Evening Shade, AR 72532-9497 Ph: (870) 283-2554 | 
		
		 
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