Lauren Marie Canary, PA
Individual provider Active NPI Medical Physician Assistant · Wauchula, FL
NPI 1205948197 · NPPES record last updated Aug 28, 2013
Key facts
- NPI
- 1205948197
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA9101695 (FL)
- Practice address
- 515 Carlton Street
Pioneer Medical Center
Wauchula, FL 33873 - Phone
- (863) 773-6606
- Fax
- (863) 773-9542
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Adventist Health System-Sunbelt Inc
Practice addresses (Care Compare)
515 Carlton St
Wauchula, FL 33873-3407
Phone (863) 773-6606
533 Carlton St
Wauchula, FL 33873-3407
Phone (863) 773-3101
Hospital & facility affiliations
- Adventhealth Home Health
- Adventhealth Wauchula
- Adventhealth Sebring
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100226000686 | FL | Practitioner - Physician Assistant | 5698810836 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9101695 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health System-Sunbelt Inc | Medical | Current |
Accepting new patients |
| Sun 'N Lake Medical Group,PA | Past | Accepting new patients | |
| Wauchula Hma Physician Management, LLC | Past | Accepting new patients |
Locations
4101 Sun N Lake Blvd
Sebring, FL 33872
515 Carlton St
Wauchula, FL 33873
Phone (863) 773-6606
Interoperability endpoints
- lcanary617862@adventhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9101695 | FL | Yes |
Addresses
Primary practice location
515 Carlton Street
Pioneer Medical Center
Wauchula, FL 33873
Mailing address
515 Carlton Street
Wauchula, FL 33873
Phone (863) 773-6606
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 291389500 | Medicaid | FL | |
| PA9101695 | Medicaid | FL |
Other names
- Lauren Marie English
Other providers in Wauchula, FL
- Cheryl Bone
- Rebecca L Bowden
- Ajit K. Brar
- Stephanie Britt
- Leonard N. Camp III
- Caring Hands Ministry Home
- Carlton ER SVCS Partnership LLC
- Barbara C Carlton
- Winston Carlton
- Wendy Jane Carranco
All providers in Wauchula, FL · Medical Physician Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.