John David Lane, MD in Bayside, WI

John David Lane, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Bayside, Wisconsin. His current practice location is 500 W Brown Deer Rd, Suite 202, Bayside, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 434-0461.

John David Lane is licensed to practice in Wisconsin (license number 37503) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962486498.

Contact Information

	John David Lane, MD
	500 W Brown Deer Rd, Suite 202, Bayside, WI 53217-1618
	(414) 434-0461
	Not Available

Map and Direction

Physician's Profile

Full Name	John David Lane
Gender	Male
Speciality	Radiology - Vascular & Interventional Radiology
Location	500 W Brown Deer Rd, Bayside, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962486498
Provider Enumeration Date: 11/29/2005
Last Update Date: 05/29/2014

Medicare PECOS Information:

PECOS PAC ID: 9739285446
Enrollment ID: I20070426000006

Medical Identifiers

Medical identifiers for John David Lane such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962486498	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0204X	Radiology - Vascular & Interventional Radiology	37503 (Wisconsin)	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. John David Lane allows following entities to bill medicare on his behalf.

Entity Name	Columbia St Marys Hospital Milwaukee Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057

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. John David 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 Address	Practice Location Address
John David Lane, MD 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217-1618 Ph: () -	John David Lane, MD 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217-1618 Ph: (414) 434-0461

Reviews and Comments

Radiology Doctors in Bayside, WI

Mitchel M. S. Kim, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217 Phone: 414-434-0461
Robert Wittchow, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217 Phone: 414-434-0461
Apichai Jarenwattananon, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217 Phone: 414-434-0461
Patrick Mcwey, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217 Phone: 414-434-0461

John David Lane, MD - Medicare Radiology in Bayside, WI