Ms Breonna Delois Lane, LCSW in Knightdale, NC - Medicare Social Worker Provider

Ms Breonna Delois Lane, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Knightdale, North Carolina. Her current practice location is 1634 Plexor Ln, Knightdale, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 315-9479.

Ms Breonna Delois Lane is licensed to practice in North Carolina (license number C015558) 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 1477189546.

Contact Information

	Ms Breonna Delois Lane, LCSW
	1634 Plexor Ln, Knightdale, NC 27545-7285
	(910) 315-9479
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Breonna Delois Lane
Gender	Female
Speciality	Social Worker - Clinical
Location	1634 Plexor Ln, Knightdale, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477189546
Provider Enumeration Date: 03/20/2020
Last Update Date: 10/26/2023

Medicare PECOS Information:

PECOS PAC ID: 1052782331
Enrollment ID: I20230124002917

Medical Identifiers

Medical identifiers for Ms Breonna Delois Lane such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477189546	NPI	-	NPPES
1477189546	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	C015558 (North Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Breonna Delois Lane allows following entities to bill medicare on her behalf.

Entity Name	Wakemed
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194907717 PECOS PAC ID: 7315937612 Enrollment ID: O20040722000418

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. Ms Breonna Delois 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
Ms Breonna Delois Lane, LCSW 1634 Plexor Ln, Knightdale, NC 27545-7285 Ph: (910) 315-9479	Ms Breonna Delois Lane, LCSW 1634 Plexor Ln, Knightdale, NC 27545-7285 Ph: (910) 315-9479

Reviews and Comments

Social Worker in Knightdale, NC

Ms. Maria Joan Patricia Hinckley, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6602 Knightdale Blvd Ste 202, Knightdale, NC 27545 Phone: 919-747-5270 Fax: 919-747-5271
Tammy Michele Johnson-mckoy, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7417 Knightdale Blvd Unit 101, Knightdale, NC 27545 Phone: 910-261-8566 Fax: 919-261-8569
Shakeria E Mcguire, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Scott Ct, Knightdale, NC 27545 Phone: 919-391-5128
Kadijah Laneak Harris, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5304 Rutledgeville Lane, Knightdale, NC 27545 Phone: 919-307-5320
Jalicia Barrett, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Scott Ct, Knightdale, NC 27545 Phone: 919-391-5128
Ms. Sharon Hartzog, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 418 Star Ruby Dr, Knightdale, NC 27545 Phone: 919-266-4629
Marrika Lewis, MSW,LCSW,CCM Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1212 Jasmine View Way, Knightdale, NC 27545 Phone: 919-931-9328

Ms Breonna Delois Lane, LCSW - Medicare Clinical Social Worker in Knightdale, NC