Forrest James Lane Jr, DO | |
2406 Bellevue Rd, Dublin, GA 31021-2842 | |
(478) 275-4740 | |
(478) 275-0533 |
Full Name | Forrest James Lane Jr |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 34 Years |
Location | 2406 Bellevue Rd, Dublin, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881675551 | NPI | - | NPPES |
00473316F | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP2900X | Anesthesiology - Pain Medicine | 34641 (Georgia) | Secondary |
207L00000X | Anesthesiology | 34641 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fairview Park Hospital | Dublin, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sentry Anesthesia Management, Llc | 9436372323 | 207 |
Entity Name | Middle Georgia Anesthesia Associates, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427082759 PECOS PAC ID: 3779571922 Enrollment ID: O20040505000736 |
Entity Name | American Anesthesiology Associates Of Georgia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528068673 PECOS PAC ID: 7618934779 Enrollment ID: O20041210000442 |
Entity Name | Sentry Anesthesia Management, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571 |
Mailing Address | Practice Location Address |
---|---|
Forrest James Lane Jr, DO Po Box 1889, 2406 Bellevue Rd Ste 22, Dublin, GA 31040-1889 Ph: (478) 275-4740 | Forrest James Lane Jr, DO 2406 Bellevue Rd, Dublin, GA 31021-2842 Ph: (478) 275-4740 |
Robert Orr Morris Jr., M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2406 Bellevue Rd, Dublin, GA 31021 Phone: 478-275-4740 Fax: 478-275-0533 | |
Francis Carroll Reese, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2406 Bellevue Rd, Dublin, GA 31021 Phone: 478-275-4740 Fax: 478-275-0533 | |
David Gerald Shores, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2406 Bellevue Rd, Dublin, GA 31021 Phone: 478-275-4740 Fax: 478-275-0533 | |
James Harrison Braziel Iii, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2406 Bellevue Rd, Dublin, GA 31021 Phone: 478-275-4740 Fax: 478-275-0533 |