Dr Mona Lisa Lane, DO - Medicare Family Medicine in Fort Worth, TX

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Dr Mona Lisa Lane, DO is a medicare enrolled "Family Medicine" physician in Fort Worth, Texas. Her current practice location is 4140 Heritage Trace Pkwy, Suite 312, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 741-7353.

Dr Mona Lisa Lane is licensed to practice in Texas (license number J3288) 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 1841258548.

Contact Information

Dr Mona Lisa Lane, DO
4140 Heritage Trace Pkwy, Suite 312,
Fort Worth, TX 76244-5310
(817) 741-7353
(817) 741-7501

Map and Direction




Physician's Profile

Full NameDr Mona Lisa Lane
GenderFemale
SpecialityFamily Medicine
Location4140 Heritage Trace Pkwy, Fort Worth, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841258548
  • Provider Enumeration Date: 05/02/2006
  • Last Update Date: 06/13/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8022272624
  • Enrollment ID: I20120612000075

Medical Identifiers

Medical identifiers for Dr Mona Lisa Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841258548NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine J3288 (Texas)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 Mona Lisa Lane allows following entities to bill medicare on her behalf.
Entity NameFamily Healthcare Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831159466
PECOS PAC ID: 5496732307
Enrollment ID: O20040701000298
Entity NameCatalyst Physician Group - Ntx, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811677610
PECOS PAC ID: 4284074758
Enrollment ID: O20240501000482

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 Mona Lisa 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 AddressPractice Location Address
Dr Mona Lisa Lane, DO
4140 Heritage Trace Pkwy, Suite 312,
Fort Worth, TX 76244-5310

Ph: (817) 741-7353		Dr Mona Lisa Lane, DO
4140 Heritage Trace Pkwy, Suite 312,
Fort Worth, TX 76244-5310

Ph: (817) 741-7353

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.