Charles J Lane, MD | |
180 Floyd Ave, Rocky Mount, VA 24151-1318 | |
(540) 483-5277 | |
Not Available |
Full Name | Charles J Lane |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 180 Floyd Ave, Rocky Mount, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134186760 | NPI | - | NPPES |
005878365 | Medicaid | VA | |
005878357 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 0101054874 (Virginia) | Primary |
Entity Name | Carilion Medical Center |
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Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1649423815 PECOS PAC ID: 9830096585 Enrollment ID: O20090320000373 |
Mailing Address | Practice Location Address |
---|---|
Charles J Lane, MD Po Box 2080, Kilmarnock, VA 22482-2080 Ph: (804) 435-3508 | Charles J Lane, MD 180 Floyd Ave, Rocky Mount, VA 24151-1318 Ph: (540) 483-5277 |
Richard Dykstra, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 Floyd Ave, Rocky Mount, VA 24151 Phone: 540-483-5277 Fax: 540-489-6453 | |
Kimberly Lynn Abel, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 180 Floyd Ave, Rocky Mount, VA 24151 Phone: 540-853-0824 Fax: 540-981-8984 | |
John Edgar Lee Montgomery Jr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 180 Floyd Ave, Emergency Dept, Rocky Mount, VA 24151 Phone: 540-483-5277 | |
Sherrill Worth Stockton Iii, M.D., PH.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 Floyd Ave, Rocky Mount, VA 24151 Phone: 540-483-5277 Fax: 540-489-6453 | |
Albert L Briggs Jr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 180 Floyd Ave, Rocky Mount, VA 24151 Phone: 540-483-5277 |