Mrs Deanna Wade Tanner, PA - Physician Assistant in Henrico, VA

Mrs Deanna Wade Tanner, PA is a Physician Assistant based in Henrico, Virginia. Mrs Deanna Wade Tanner is licensed to practice in Virginia (license number 0110002513) and her current practice location is 9920 Independence Park Dr, Suite 100, Henrico, Virginia. She can be reached at her office (for appointments etc.) via phone at (804) 285-7420.

NPI number for Mrs Deanna Wade Tanner is 1508086075 and her current mailing address is 9920 Independence Park Dr, Suite 100, Henrico, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508086075.

Contact Information

Mrs Deanna Wade Tanner, PA
9920 Independence Park Dr, Suite 100,
Henrico, VA 23233-1487
(804) 285-7420
(804) 285-7454

Map and Direction




Provider's Profile

Full NameMrs Deanna Wade Tanner
GenderFemale
SpecialityPhysician Assistant
Location9920 Independence Park Dr, Henrico, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1508086075
  • Provider Enumeration Date: 04/26/2007
  • Last Update Date: 08/12/2013

Medical Identifiers

Medical identifiers for Mrs Deanna Wade Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508086075NPI-NPPES
1508088075MedicaidVA
10029494POtherVAOPTIMA/SENTARA
61459602OtherVABLACK LUNG/FECA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0110002513 (Virginia)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. Mrs Deanna Wade Tanner 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 AddressPractice Location Address
Mrs Deanna Wade Tanner, PA
9920 Independence Park Dr, Suite 100,
Henrico, VA 23233-1487

Ph: (804) 285-7420
Mrs Deanna Wade Tanner, PA
9920 Independence Park Dr, Suite 100,
Henrico, VA 23233-1487

Ph: (804) 285-7420

Reviews and Comments


Physician Assistant Nurses in Henrico, VA

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Miss Melissa Mae Evans, PA
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Practice Location: 12129 Graham Meadows Dr, Henrico, VA 23233
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