Mrs Kelly M Lane, LCPC is a medicare enrolled "Counselor - Professional" provider in Sedgwick, Kansas. Her current practice location is
21910 W 113th St N, Sedgwick, Kansas. You can reach out to her office (for appointments etc.) via phone at
(316) 217-3865.
Mrs Kelly M Lane is licensed to practice in Kansas (license number 03759) 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 1124474119.
Healthcare Provider's Profile
Full Name | Mrs Kelly M Lane |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 21910 W 113th St N, Sedgwick, Kansas |
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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: 1124474119
- Provider Enumeration Date: 05/09/2016
- Last Update Date: 07/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 3476092107
- Enrollment ID: I20240827000526
Medical Identifiers
Medical identifiers for Mrs Kelly M Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124474119 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 2175 (Kansas) | Secondary |
101YP2500X | Counselor - Professional | 03759 (Kansas) | 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. Mrs Kelly M 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 |
Mrs Kelly M Lane, LCPC 21910 W 113th St N, Sedgwick, KS 67135-9577 Ph: (316) 217-3865 | Mrs Kelly M Lane, LCPC 21910 W 113th St N, Sedgwick, KS 67135-9577 Ph: (316) 217-3865 |
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