Mr James Lucas Wagoner, MSN, APRN, FNP-C | |
1023 N Mound St Ste E, Nacogdoches, TX 75961-4453 | |
(936) 305-4130 | |
(936) 305-4127 |
Full Name | Mr James Lucas Wagoner |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 1023 N Mound St Ste E, Nacogdoches, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104470988 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP142434 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Nacogdoches County Hospital District | Nacogdoches, TX | Hospital |
Nacogdoches Medical Center | Nacogdoches, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wagoner Health Clinic Pllc | 9638544018 | 2 |
Entity Name | Wagoner Health Clinic Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396454484 PECOS PAC ID: 9638544018 Enrollment ID: O20230418000193 |
Mailing Address | Practice Location Address |
---|---|
Mr James Lucas Wagoner, MSN, APRN, FNP-C 1023 N Mound St Ste E, Nacogdoches, TX 75961-4453 Ph: (936) 305-4130 | Mr James Lucas Wagoner, MSN, APRN, FNP-C 1023 N Mound St Ste E, Nacogdoches, TX 75961-4453 Ph: (936) 305-4130 |
Kristin Nicole Robinson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1106 South St, Nacogdoches, TX 75964 Phone: 936-564-8611 Fax: 936-462-8489 | |
Mrs. Kace L Calan, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3618 N University Dr, Nacogdoches, TX 75965 Phone: 936-205-9922 Fax: 936-205-9923 | |
Mr. Carl Austin Willeford Jr., FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1018 N Mound St Ste 203, Nacogdoches, TX 75961 Phone: 936-569-4150 Fax: 936-569-4155 | |
Jena Lyn Rhodes, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2702 N University Dr, Nacogdoches, TX 75965 Phone: 936-585-4130 Fax: 936-585-4134 | |
Tiffany Batten, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4920 Ne Stallings Dr, Nacogdoches, TX 75965 Phone: 936-568-3143 | |
Carla Ann Hairston, RN,FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1002 N Mound St, Nacogdoches, TX 75961 Phone: 936-560-3800 Fax: 936-560-0102 |