Dr Victoria M Laine, MD is a medicare enrolled "Internal Medicine" physician in Polson, Montana. Her current practice location is
6 13th Ave E, Polson, Montana. You can reach out to her office (for appointments etc.) via phone at
(406) 883-5680.
Dr Victoria M Laine is licensed to practice in Nevada (license number 17435) 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 1609134006.
Physician's Profile
Full Name | Dr Victoria M Laine |
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Gender | Female |
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Speciality | Internal Medicine |
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Location | 6 13th Ave E, Polson, Montana |
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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: 1609134006
- Provider Enumeration Date: 04/24/2012
- Last Update Date: 07/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 9032427497
- Enrollment ID: I20151005001044
Medical Identifiers
Medical identifiers for Dr Victoria M Laine such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609134006 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 31865 (Nebraska) | Secondary |
207R00000X | Internal Medicine | MD.38354 (Alabama) | Secondary |
207R00000X | Internal Medicine | A131124 (California) | Secondary |
207R00000X | Internal Medicine | MD-46354 (Iowa) | Secondary |
207R00000X | Internal Medicine | MED-PHYS-LIC-77214 (Montana) | Secondary |
207R00000X | Internal Medicine | 036.150125 (Illinois) | Secondary |
207R00000X | Internal Medicine | E-9725 (Arkansas) | Secondary |
207R00000X | Internal Medicine | 26799 (Mississippi) | Secondary |
208M00000X | Hospitalist | 036150125 (Illinois) | Secondary |
207R00000X | Internal Medicine | 17435 (Nevada) | 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 Victoria M Laine allows following entities to bill medicare on her behalf.
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
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Entity Name | Galen Inpatient Physicians Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689320459 PECOS PAC ID: 3678464633 Enrollment ID: O20040322000680 |
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Entity Name | Lodi Memorial Hospital Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861649352 PECOS PAC ID: 7618880717 Enrollment ID: O20050517000577 |
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Entity Name | Hospitalist Medicine Physicians Of California Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184663965 PECOS PAC ID: 8426062027 Enrollment ID: O20060202000956 |
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Entity Name | Sutter Valley Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
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Entity Name | Community Foundation Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811258510 PECOS PAC ID: 0345406294 Enrollment ID: O20120723000387 |
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Entity Name | 24 On Physicians Of California Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730570565 PECOS PAC ID: 7012228992 Enrollment ID: O20150618001426 |
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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 Victoria M Laine 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 Victoria M Laine, MD 1550 W Horizon Ridge Pkwy Ste R204, Henderson, NV 89012-3600 Ph: (702) 890-0292 | Dr Victoria M Laine, MD 6 13th Ave E, Polson, MT 59860-5315 Ph: (406) 883-5680 |
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