Mrs Lacey Shayann Wyatt, APN in Paragould, AR

Mrs Lacey Shayann Wyatt, APN is a medicare enrolled "Nurse Practitioner" in Paragould, Arkansas. She graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kenneth F Rodgers Md Pa and her current practice location is 1707 Linwood Dr Ste A, Paragould, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 236-2202.

Mrs Lacey Shayann Wyatt is licensed to practice in Arkansas (license number A01865) 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 1649358847.

Contact Information

	Mrs Lacey Shayann Wyatt, APN
	1707 Linwood Dr Ste A, Paragould, AR 72450
	(870) 236-2202
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Lacey Shayann Wyatt
Gender	Female
Speciality	Nurse Practitioner
Experience	20 Years
Location	1707 Linwood Dr Ste A, Paragould, 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:

Mrs Lacey Shayann Wyatt graduated from nursing school in 2004

NPI Data:

NPI Number: 1649358847
Provider Enumeration Date: 11/02/2006
Last Update Date: 06/15/2018

Medicare PECOS Information:

PECOS PAC ID: 0244253995
Enrollment ID: I20060109000301

Medical Identifiers

Medical identifiers for Mrs Lacey Shayann Wyatt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649358847	NPI	-	NPPES
3345732	Other	TN	MEDICARE-TN
1514445	Medicaid	TN
160259758	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APN0000014041 (Tennessee)	Secondary
363L00000X	Nurse Practitioner	A01865 (Arkansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kenneth F Rodgers Md Pa	8224108493	3

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 Lacey Shayann Wyatt allows following entities to bill medicare on her behalf.

Entity Name	Kenneth F Rodgers Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639351638 PECOS PAC ID: 8224108493 Enrollment ID: O20080529000939

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 Lacey Shayann Wyatt 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 Lacey Shayann Wyatt, APN 1707 Linwood Dr Ste A, Paragould, AR 72450-5365 Ph: (870) 236-2202	Mrs Lacey Shayann Wyatt, APN 1707 Linwood Dr Ste A, Paragould, AR 72450 Ph: (870) 236-2202

Reviews and Comments

Nurse Practitioner Nurses in Paragould, AR

Susan A Harris, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 Goldsmith Rd, Paragould, AR 72450 Phone: 870-236-7782 Fax: 870-236-9610
Allison Smith, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 W Kingshighway, Paragould, AR 72450 Phone: 870-239-7000
Lauren Elizabeth Cude, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165 Greene 7242 Rd, Paragould, AR 72450 Phone: 870-333-5488 Fax: 870-333-5442
Garrett Thomas Wray, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4700 W Kingshighway, Paragould, AR 72450 Phone: 870-936-8000 Fax: 870-240-8833
Cecil Preston Massey, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3501 Carriage Hill Dr Ste B, Paragould, AR 72450 Phone: 870-573-2200 Fax: 870-236-4009
Cathy Louise Young, DNSC, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2700 W Kingshighway, Suite #4, Paragould, AR 72450 Phone: 870-239-3600
Amy M Wynn, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2420 Linwood Drive Suite 3, Paragould, AR 72450 Phone: 870-236-9756 Fax: 870-236-9356

Mrs Lacey Shayann Wyatt, APN - Medicare Nurse Practitioner in Paragould, AR