Dr Brandon Lane, DO is a medicare enrolled "Emergency Medicine" physician in Sand Springs, Oklahoma. His current practice location is
5045 N Delmar Dr, Sand Springs, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 242-3903.
Dr Brandon Lane is licensed to practice in Oklahoma (license number 4311) 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 1508078932.
Physician's Profile
Full Name | Dr Brandon Lane |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 5045 N Delmar Dr, Sand Springs, Oklahoma |
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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: 1508078932
- Provider Enumeration Date: 05/06/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1254350226
- Enrollment ID: I20080807000407
Medical Identifiers
Medical identifiers for Dr Brandon Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508078932 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 4311 (Oklahoma) | 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. Dr Brandon Lane allows following entities to bill medicare on his behalf.
Entity Name | St Bernards Hospital Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1336150374 PECOS PAC ID: 0941105480 Enrollment ID: O20050121000843 |
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Entity Name | St Bernards Hospital Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396053096 PECOS PAC ID: 0941105480 Enrollment ID: O20101123000105 |
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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. Dr Brandon 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 |
Dr Brandon Lane, DO 5045 N Delmar Dr, Sand Springs, OK 74063-5409 Ph: (918) 242-3903 | Dr Brandon Lane, DO 5045 N Delmar Dr, Sand Springs, OK 74063-5409 Ph: (918) 242-3903 |
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