David J Lane, AUD, CCC-A is a medicare enrolled "Audiologist" provider in Mount Vernon, Illinois. His current practice location is
4117 S Water Tower Pl, Suite C, Mount Vernon, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 242-0672.
David J Lane is licensed to practice in Illinois (license number 147-000854) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164472155.
Healthcare Provider's Profile
| Full Name | David J Lane |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 4117 S Water Tower Pl, Mount Vernon, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- David J Lane attended and graduated from in
NPI Data:
- NPI Number: 1164472155
- Provider Enumeration Date: 05/11/2006
- Last Update Date: 08/30/2010
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for David J Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164472155 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | 147-000854 (Illinois) | 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. David J Lane 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 Address | Practice Location Address |
|---|
David J Lane, AUD, CCC-A
4117 S Water Tower Pl, Suite C,
Mount Vernon, IL 62864-6293
Ph: (618) 242-0672 | David J Lane, AUD, CCC-A
4117 S Water Tower Pl, Suite C,
Mount Vernon, IL 62864-6293
Ph: (618) 242-0672 |
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