Dr Carole C Lane, MD is a medicare enrolled "Internal Medicine" physician in Brewton, Alabama. Her current practice location is
1108 Douglas Ave, Brewton, Alabama. You can reach out to her office (for appointments etc.) via phone at
(251) 867-1711.
Dr Carole C Lane is licensed to practice in Alabama (license number 00011195) 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 1477501633.
Physician's Profile
| Full Name | Dr Carole C Lane |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | 1108 Douglas Ave, Brewton, Alabama |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1477501633
- Provider Enumeration Date: 05/04/2006
- Last Update Date: 06/26/2013
Medicare PECOS Information:
- PECOS PAC ID: 2062537798
- Enrollment ID: I20100917000293
Medical Identifiers
Medical identifiers for Dr Carole C Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477501633 | NPI | - | NPPES |
| LA000082064 | Medicaid | AL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 00011195 (Alabama) | Primary |
| 207N00000X | Dermatology | 11195 (Alabama) | Secondary |
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 Carole C Lane allows following entities to bill medicare on her behalf.
| Entity Name | Southeastern Dermatology Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518972231
PECOS PAC ID: 9931277233
Enrollment ID: O20110628000133 |
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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 Carole C 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 Carole C Lane, MD
1108 Douglas Ave,
Brewton, AL 36426-1579
Ph: (251) 867-1711 | Dr Carole C Lane, MD
1108 Douglas Ave,
Brewton, AL 36426-1579
Ph: (251) 867-1711 |
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