Dr William Kelvin Lane, MD | |
1950 Palmyra Rd, Albany, GA 31701-1575 | |
(229) 883-1508 | |
Not Available |
Full Name | Dr William Kelvin Lane |
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Gender | Male |
Speciality | Urology |
Location | 1950 Palmyra Rd, Albany, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538171376 | NPI | - | NPPES |
00016673A | Medicaid | GA | |
008821 | Other | GA | GEORGIA LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 008821 (Georgia) | Primary |
Entity Name | Albany Urology Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043383623 PECOS PAC ID: 2365423647 Enrollment ID: O20040525000606 |
Entity Name | Phoebe Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
Mailing Address | Practice Location Address |
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Dr William Kelvin Lane, MD 1950 Palmyra Rd, Albany, GA 31701-1575 Ph: (229) 883-1508 | Dr William Kelvin Lane, MD 1950 Palmyra Rd, Albany, GA 31701-1575 Ph: (229) 883-1508 |
Frank Eugene Glover Iii, Urology Medicare: Not Enrolled in Medicare Practice Location: 4562 Lacosta Dr, Albany, GA 31721 Phone: 229-869-0722 | |
Dr. Michael Blair Monahan, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 2400 Osler Ct, Albany, GA 31707 Phone: 229-449-1676 Fax: 229-432-7583 | |
Khaled Ajib, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2400 Osler Ct, Albany, GA 31707 Phone: 229-883-1503 | |
Stephen C Allen, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 425 W 3rd Ave, Suite 550, Albany, GA 31701 Phone: 229-432-8463 Fax: 229-432-8465 | |
Timothy Trulock, M.D. Urology Medicare: Medicare Enrolled Practice Location: 1950 Palmyra Rd, Albany, GA 31701 Phone: 229-883-1503 Fax: 229-438-2815 | |
Dr. Rex O Ajayi, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 803 N Jackson St, Albany, GA 31701 Phone: 229-435-0832 Fax: 229-435-2857 |