Jessica R Lane, MD | |
1000 E Broad St, Richmond, VA 23219-1930 | |
(804) 828-9165 | |
(804) 828-0374 |
Full Name | Jessica R Lane |
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Gender | Female |
Speciality | Neurological Surgery |
Location | 1000 E Broad St, Richmond, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265827752 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | A178025 (California) | Secondary |
207T00000X | Neurological Surgery | 0101278483 (Virginia) | Primary |
Entity Name | Childrens Hospital Los Angeles Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522 |
Mailing Address | Practice Location Address |
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Jessica R Lane, MD Po Box 780125, Philadelphia, PA 19178-0125 Ph: (804) 922-4844 | Jessica R Lane, MD 1000 E Broad St, Richmond, VA 23219-1930 Ph: (804) 828-9165 |
Charles Joseph Miller, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1651 N Parham Rd, Richmond, VA 23229 Phone: 804-330-4990 Fax: 804-330-4529 | |
Dr. William C Broaddus, M.D., PH.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1250 E Marshall Street, Neurosurgery, Richmond, VA 23298 Phone: 804-828-2437 Fax: 804-828-4493 | |
Andrew Caras, Neurological Surgery Medicare: Medicare Enrolled Practice Location: Vcuhs Dept Of Neurosurgery Residency, 980631, 1250 E. Marshall Street, Richmond, VA 23298 Phone: 804-828-9165 | |
Dr. Kanwalcharan Singh Sahni, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 10710 Midlothian Tpke, Suite 138, Richmond, VA 23235 Phone: 804-330-4990 Fax: 804-330-4529 | |
Anthony Christian Pais, Neurological Surgery Medicare: Medicare Enrolled Practice Location: Vcuhs Dept Of Neurological Surgery Residency, 1250 E. Marshall Street, Richmond, VA 23298 Phone: 804-828-9165 | |
Dr. Brandon Justin Toll, DO Neurological Surgery Medicare: Medicare Enrolled Practice Location: Po Box 980257, Richmond, VA 23298 Phone: 804-828-9783 | |
Vaelan Molian, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 1250 E Marshall St, Richmond, VA 23298 Phone: 804-828-9165 |