Lacy Elizabeth Scott Wyant, RN, FNP | |
124 Nw Midland Ave Ste J, Grants Pass, OR 97526-1269 | |
(541) 476-8859 | |
Not Available |
Full Name | Lacy Elizabeth Scott Wyant |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 124 Nw Midland Ave Ste J, Grants Pass, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306223573 | NPI | - | NPPES |
500713269 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 20163827 (Oregon) | Secondary |
363LF0000X | Nurse Practitioner - Family | 201605315 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Three Rivers Homecare | Grants pass, OR | Home health agency |
Accentcare Home Health Of Rogue Valley, Llc | Medford, OR | Home health agency |
Asante Three Rivers Medical Center | Grants pass, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Allcare Medical Group Llc | 6507269115 | 21 |
Entity Name | Axis Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780988261 PECOS PAC ID: 7214119544 Enrollment ID: O20110308000830 |
Entity Name | Cascade West Medical Practice Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639468432 PECOS PAC ID: 7416132246 Enrollment ID: O20110421000173 |
Entity Name | Allcare Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699360412 PECOS PAC ID: 6507269115 Enrollment ID: O20210720002502 |
Mailing Address | Practice Location Address |
---|---|
Lacy Elizabeth Scott Wyant, RN, FNP 1701 Ne 7th St, Grants Pass, OR 97526-1319 Ph: () - | Lacy Elizabeth Scott Wyant, RN, FNP 124 Nw Midland Ave Ste J, Grants Pass, OR 97526-1269 Ph: (541) 476-8859 |
Ms. Catherine Chiaradonna, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1867 Williams Hwy Ste 226, Grants Pass, OR 97527 Phone: 877-672-8620 | |
Cathryn Diann Draper, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 520 Sw Ramsey Ave Ste 204, Grants Pass, OR 97527 Phone: 541-930-7223 Fax: 541-930-7221 | |
Deborah Lynn Rossel, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Nw 6th St, Grants Pass, OR 97526 Phone: 541-916-5500 Fax: 541-916-5010 | |
Krista Fuqua, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1585 Nw Washington Blvd, Grants Pass, OR 97526 Phone: 541-474-5511 | |
Laura Lynn Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1619 Nw Hawthorne Ave Ste 204, Grants Pass, OR 97526 Phone: 541-916-8530 Fax: 541-916-8533 | |
Mona Kaahu, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 Nw Hawthorne Ave, Grants Pass, OR 97526 Phone: 541-471-3455 Fax: 541-471-9242 | |
Ms. Charlane A Frazier, WHCNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 160 Nw Franklin Blvd, Grants Pass, OR 97526 Phone: 541-474-2784 Fax: 541-474-0638 |