Laken Renee Tanner, MSPAP, PA-C - Medicare Physician Assistant in Waycross, GA

Laken Renee Tanner, MSPAP, PA-C is a medicare enrolled "Physician Assistant" in Waycross, Georgia. Her current practice location is 1900 Tebeau St, Waycross, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 283-3030.

Laken Renee Tanner is licensed to practice in Georgia (license number 11382) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174229579.

Contact Information

Laken Renee Tanner, MSPAP, PA-C
1900 Tebeau St,
Waycross, GA 31501-6357
(912) 283-3030
Not Available



Provider's Profile

Full NameLaken Renee Tanner
GenderFemale
SpecialityPhysician Assistant
Location1900 Tebeau St, Waycross, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174229579
  • Provider Enumeration Date: 02/07/2023
  • Last Update Date: 02/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0648636316
  • Enrollment ID: I20230523000590

Medical Identifiers

Medical identifiers for Laken Renee Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174229579NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 11382 (Georgia)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. Laken Renee Tanner 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 AddressPractice Location Address
Laken Renee Tanner, MSPAP, PA-C
99 Rufus Rd,
Willacoochee, GA 31650-5400

Ph: (912) 327-0659
Laken Renee Tanner, MSPAP, PA-C
1900 Tebeau St,
Waycross, GA 31501-6357

Ph: (912) 283-3030

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Physician Assistant Nurses in Waycross, GA

Tayler Hutto Allen, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2005 Pioneer St, Waycross, GA 31501
Phone: 912-490-7777    Fax: 912-490-7779
Ricky O Tatum, PAC
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1007 Mary St, Waycross, GA 31503
Phone: 912-449-8601    Fax: 912-449-7060
Kimberly Cecil, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1218 Alice St, Waycross, GA 31501
Phone: 912-590-0973    Fax: 912-590-0180
Mrs. Hannah Carter Horner, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 218 Quarterman St, Waycross, GA 31501
Phone: 912-287-0301    Fax: 912-287-1568
John Franklin Jacobs, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 410 Darling Ave, Waycross, GA 31501
Phone: 912-287-2744    Fax: 912-338-6538
Amanda S Smith, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 700 Riverside Ave, Waycross, GA 31501
Phone: 912-490-8546    Fax: 877-221-0052

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