Wanda Renee Beaver, in Dyersburg, TN - Medicare Nurse Practitioner

Wanda Renee Beaver, is a medicare enrolled "Nurse Practitioner - Family" in Dyersburg, Tennessee. Her current practice location is 1999 Saint John Ave, Dyersburg, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 286-1400.

Wanda Renee Beaver is licensed to practice in Tennessee (license number 18855) 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 1396160222.

Contact Information

	Wanda Renee Beaver,
	1999 Saint John Ave, Dyersburg, TN 38024-2117
	(731) 286-1400
	(731) 286-0109

Map and Direction

Provider's Profile

Full Name	Wanda Renee Beaver
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1999 Saint John Ave, Dyersburg, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396160222
Provider Enumeration Date: 03/01/2014
Last Update Date: 05/09/2023

Medicare PECOS Information:

PECOS PAC ID: 3173845773
Enrollment ID: I20141210001928

Medical Identifiers

Medical identifiers for Wanda Renee Beaver such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396160222	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	18855 (Tennessee)	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. Wanda Renee Beaver allows following entities to bill medicare on her behalf.

Entity Name	Emergency Medical Care Facilities Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538345855 PECOS PAC ID: 6103837877 Enrollment ID: O20060509000565

Entity Name	Work Care Resources Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684837 PECOS PAC ID: 8022012913 Enrollment ID: O20060907000322

Entity Name	Healogics Specialty Physicians Of Tennessee, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932527090 PECOS PAC ID: 2961720313 Enrollment ID: O20150414002280

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. Wanda Renee Beaver 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
Wanda Renee Beaver, 1037 Roellen Newbern Rd, Dyersburg, TN 38024-7827 Ph: (731) 334-0919	Wanda Renee Beaver, 1999 Saint John Ave, Dyersburg, TN 38024-2117 Ph: (731) 286-1400

Reviews and Comments

Nurse Practitioner Nurses in Dyersburg, TN

Heather Haddock, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1718 Parr Ave Ste E, Dyersburg, TN 38024 Phone: 731-285-9938
Tammy Javellana, F.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2017 Saint John Ave, Suite B, Dyersburg, TN 38024 Phone: 731-285-6110 Fax: 731-285-6964
Amber Elaine Mejia, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 179 Quail Hollow Dr, Dyersburg, TN 38024 Phone: 870-623-8410
Whitney Young, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 455 East Parkview, Dyersburg, TN 38024 Phone: 731-285-2100
Tina Boyd-seng, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1950 Us Highway 51 Byp N, Dyersburg, TN 38024 Phone: 731-217-0449
Leslie Olivia Dunevant, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1999 Saint John Ave, Dyersburg, TN 38024 Phone: 731-286-1400
Mr. David Brian Hughes, RN GNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 804 Scotsman Trce, Dyersburg, TN 38024 Phone: 731-571-8808 Fax: 731-214-1816

Wanda Renee Beaver, - Medicare Nurse Practitioner in Dyersburg, TN