Lane Family Wellness Center, Llc. is a medicare enrolled "Internal Medicine" provider in Tampa, Florida. Their current practice location is
1323 W Fletcher Ave Ste A, Tampa, Florida. You can reach out to their office (for appointments etc.) via phone at
(813) 968-4293.
Lane Family Wellness Center, Llc. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Lane Family Wellness Center, Llc.
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1689187189.
Healthcare Provider's Profile
| Full Name | Lane Family Wellness Center, Llc. |
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| Type | Facility |
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| Speciality | Internal Medicine |
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| Location | 1323 W Fletcher Ave Ste A, Tampa, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1689187189
- Provider Enumeration Date: 11/07/2017
- Last Update Date: 12/26/2017
Medicare PECOS Information:
- PECOS PAC ID: 6709146160
- Enrollment ID: O20180201003134
Medical Identifiers
Medical identifiers for Lane Family Wellness Center, Llc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1689187189 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Lane Family Wellness Center, Llc. acts as a billing entity for following providers:
| Provider Name | Thomas M Lane |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1891719506
PECOS PAC ID: 9032005921
Enrollment ID: I20040226000704 |
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| Provider Name | Heather K Simmons |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1467479063
PECOS PAC ID: 6901860006
Enrollment ID: I20041118000239 |
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| Provider Name | Yvette M Suarez |
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| Provider Type | Practitioner - General Practice |
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| Provider Identifiers | NPI Number: 1750335543
PECOS PAC ID: 1759302615
Enrollment ID: I20051207000960 |
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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. Lane Family Wellness Center, Llc. 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 |
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Lane Family Wellness Center, Llc.
1323 W Fletcher Ave Ste A,
Tampa, FL 33612-3310
Ph: (813) 968-4293 | Lane Family Wellness Center, Llc.
1323 W Fletcher Ave Ste A,
Tampa, FL 33612-3310
Ph: (813) 968-4293 |
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