Dr Vanessa Lynn Widner Ren, MD is a
Family Medicine physician based in Northmoor, Missouri. Dr Vanessa Lynn Widner Ren is licensed to practice in Missouri (license number 2013037136) and her current practice location is 5100 Nw Waukomis Dr Ste A, Northmoor, Missouri. She can be reached at her office (for appointments etc.) via phone at
(913) 980-4697.
NPI number for Dr Vanessa Lynn Widner Ren is 1508179417 and her current mailing address is 5100 Nw Waukomis Dr Ste A, Northmoor, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508179417.
Physician's Profile
Full Name | Dr Vanessa Lynn Widner Ren |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 5100 Nw Waukomis Dr Ste A, Northmoor, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508179417
- Provider Enumeration Date: 07/20/2010
- Last Update Date: 02/20/2018
Medical Identifiers
Medical identifiers for Dr Vanessa Lynn Widner Ren such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508179417 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QA0401X | Family Medicine - Addiction Medicine | 2013037136 (Missouri) | Secondary |
207QA0505X | Family Medicine - Adult Medicine | 2013037136 (Missouri) | Secondary |
207QH0002X | Family Medicine - Hospice And Palliative Medicine | 2013037136 (Missouri) | Secondary |
207Q00000X | Family Medicine | 2013037136 (Missouri) | 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. Dr Vanessa Lynn Widner Ren is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Vanessa Lynn Widner Ren, MD 5100 Nw Waukomis Dr Ste A, Northmoor, MO 64151-3516 Ph: (913) 980-4697 | Dr Vanessa Lynn Widner Ren, MD 5100 Nw Waukomis Dr Ste A, Northmoor, MO 64151-3516 Ph: (913) 980-4697 |
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