Ms Kimberly A Lane, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Nellis Afb, Nevada. Her current practice location is
4700 Las Vegas Blvd N, Nellis Afb, Nevada. You can reach out to her office (for appointments etc.) via phone at
(705) 653-3880.
Ms Kimberly A Lane is licensed to practice in Alabama (license number 2420C) 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 1346572419.
Healthcare Provider's Profile
Full Name | Ms Kimberly A Lane |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 4700 Las Vegas Blvd N, Nellis Afb, Nevada |
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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: 1346572419
- Provider Enumeration Date: 02/01/2010
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 6406122894
- Enrollment ID: I20171031000801
Medical Identifiers
Medical identifiers for Ms Kimberly A Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346572419 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | M7662 (Mississippi) | Secondary |
104100000X | Social Worker | M7662 (Mississippi) | Secondary |
1041C0700X | Social Worker - Clinical | 2420C (Alabama) | 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. Ms Kimberly A 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 Kimberly A Lane, LCSW 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (705) 653-3880 | Ms Kimberly A Lane, LCSW 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (705) 653-3880 |
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