Alexandria Kennedy Lane, MS, RDN, LD - Medicare Dietitian in Atlanta, GA

Alexandria Kennedy Lane, MS, RDN, LD is a medicare enrolled "Dietitian, Registered" provider in Atlanta, Georgia. Her current practice location is 160 Walthall St Se, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 888-1182.

Alexandria Kennedy Lane is licensed to practice in Georgia (license number LD003684) 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 1265807911.

Contact Information

Alexandria Kennedy Lane, MS, RDN, LD
160 Walthall St Se,
Atlanta, GA 30316-1340
(678) 888-1182
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAlexandria Kennedy Lane
GenderFemale
SpecialityDietitian, Registered
Location160 Walthall St Se, Atlanta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265807911
  • Provider Enumeration Date: 12/07/2015
  • Last Update Date: 12/07/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3678870961
  • Enrollment ID: I20231220003050

Medical Identifiers

Medical identifiers for Alexandria Kennedy Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265807911NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered LD003684 (Georgia)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. Alexandria Kennedy Lane allows following entities to bill medicare on her behalf.
Provider NameRyse Health Maryland Physicians Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1265183354
PECOS PAC ID: 6305239310
Enrollment ID: O20221010001899

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. Alexandria Kennedy 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 AddressPractice Location Address
Alexandria Kennedy Lane, MS, RDN, LD
160 Walthall St Se,
Atlanta, GA 30316-1340

Ph: (678) 888-1182
Alexandria Kennedy Lane, MS, RDN, LD
160 Walthall St Se,
Atlanta, GA 30316-1340

Ph: (678) 888-1182

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.