Katelyn Lane, is a medicare enrolled "Social Worker - Clinical" provider in Bristol, New Hampshire. Her current practice location is
66 Jonelle Dr, Bristol, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 707-6369.
Katelyn Lane is licensed to practice in New Hampshire (license number 2837) 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 1326763640.
Healthcare Provider's Profile
Full Name | Katelyn Lane |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 66 Jonelle Dr, Bristol, New Hampshire |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1326763640
- Provider Enumeration Date: 10/10/2022
- Last Update Date: 03/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 9234570219
- Enrollment ID: I20240508000710
Medical Identifiers
Medical identifiers for Katelyn Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326763640 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 2837 (New Hampshire) | 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. Katelyn Lane allows following entities to bill medicare on her behalf.
Entity Name | The Counseling Center Of Nashua Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144275389 PECOS PAC ID: 3274523758 Enrollment ID: O20040929000288 |
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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. Katelyn 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 |
Katelyn Lane, 66 Jonelle Dr, Bristol, NH 03222-3452 Ph: (603) 707-6369 | Katelyn Lane, 66 Jonelle Dr, Bristol, NH 03222-3452 Ph: (603) 707-6369 |
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