Debra A Lane, MD | |
657 E Broadway Blvd, Healthstar Physicians Ste C, Jefferson City, TN 37760 | |
(865) 475-9062 | |
(865) 475-9063 |
Full Name | Debra A Lane |
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Gender | Female |
Speciality | Family Medicine |
Location | 657 E Broadway Blvd, Jefferson City, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740231646 | NPI | - | NPPES |
3333808 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD40163 (Tennessee) | Primary |
Entity Name | Frederick R. Yarid, M.d. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942426861 PECOS PAC ID: 4688643885 Enrollment ID: O20040924000754 |
Entity Name | Southeastern Physician Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
Mailing Address | Practice Location Address |
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Debra A Lane, MD 657 E Broadway Blvd, Healthstar Physicians Ste C, Jefferson City, TN 37760 Ph: (865) 475-9062 | Debra A Lane, MD 657 E Broadway Blvd, Healthstar Physicians Ste C, Jefferson City, TN 37760 Ph: (865) 475-9062 |
Dr. Brent A Baker, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 380 W Broadway Blvd Ste 130, Jefferson City, TN 37760 Phone: 865-475-4742 | |
Dr. Leann M Byrd, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Hospital Dr, Suite 130, Jefferson City, TN 37760 Phone: 865-475-4742 Fax: 865-262-0100 | |
Dr. Kenneth M Allum Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Hospital Dr, Suite 130, Jefferson City, TN 37760 Phone: 865-475-4742 Fax: 865-262-0100 | |
Dennis M Klein, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 657 E Broadway Blvd, Healthstar Physicians Ste C, Jefferson City, TN 37760 Phone: 865-475-9062 Fax: 865-475-9063 | |
Dr. Emmett S Manley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Hospital Dr, Suite 130, Jefferson City, TN 37760 Phone: 865-475-4742 Fax: 865-262-0100 |