Dane Lawrence, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Davie, Florida. His current practice location is
4610 S University Dr, Davie, Florida. You can reach out to his office (for appointments etc.) via phone at
(954) 629-7486.
Dane Lawrence is licensed to practice in Florida (license number 11007548) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184240632.
Physician's Profile
Full Name | Dane Lawrence |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 4610 S University Dr, Davie, Florida |
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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: 1184240632
- Provider Enumeration Date: 06/21/2020
- Last Update Date: 11/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 5597176297
- Enrollment ID: I20201202000791
Medical Identifiers
Medical identifiers for Dane Lawrence such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184240632 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 11007548 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | 11007548 (Florida) | 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. Dane Lawrence allows following entities to bill medicare on his behalf.
Entity Name | Minuteclinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134191836 PECOS PAC ID: 6709850241 Enrollment ID: O20070217000007 |
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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. Dane Lawrence 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 |
Dane Lawrence, FNP 4610 S University Dr, Davie, FL 33328-3818 Ph: (954) 629-7486 | Dane Lawrence, FNP 4610 S University Dr, Davie, FL 33328-3818 Ph: (954) 629-7486 |
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