DR. LACI DESIRAE WANER (MD) – Family Medicine Physician, NPI 1487975827
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. LACI DESIRAE WANER (MD)
2710 OAK RDG
CLIFTON, TX 766341162
Phone: (979) 575-7936
Fax: (502) 385-6556
Type: Mailing
2800 Eisenhower Ave Ste 220
Alexandria, VA 223144587
Phone: (888) 803-3370
Fax: (888) 803-3331
Type: Location
100 NE 5th St
Oklahoma City, OK 731042228
Phone: (888) 803-3370
Fax: (888) 803-3331
Type: Location
1400 N Coit Rd Ste 302
McKinney, TX 750716656
Phone: (888) 803-3370
Fax: (888) 803-3331
Type: Location
5373 W ALABAMA ST STE 204
Houston, TX 770565923
Phone: (888) 803-3370
Fax: (888) 803-3331
Type: Location
333 1ST ST STE A
SAN FRANCISCO, CA 941052661
Phone: (888) 803-3370
Fax: (888) 803-3331
Type: Location
525 N Tryon St Ste 1600
Charlotte, NC 282020213
Phone: (888) 803-3370
Fax: (888) 803-3331
Type: Location
71 Raymond Rd Ste 122
West Hartford, CT 061072211
Phone: (888) 803-3370
Fax: (888) 803-3331
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-03-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170316000822 | I | Family Practice | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76634)
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