Lanneau D Lide Jr, MD in Columbia, SC - Medicare Internal Medicine

Lanneau D Lide Jr, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Columbia, South Carolina. His current practice location is 2001 Laurel St, Columbia, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 254-3278.

Lanneau D Lide Jr is licensed to practice in South Carolina (license number 10233) 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 1073549291.

Contact Information

	Lanneau D Lide Jr, MD
	2001 Laurel St, Columbia, SC 29204-1018
	(803) 254-3278
	(803) 929-3256

Map and Direction

Physician's Profile

Full Name	Lanneau D Lide Jr
Gender	Male
Speciality	Internal Medicine - Interventional Cardiology
Location	2001 Laurel St, Columbia, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073549291
Provider Enumeration Date: 06/23/2006
Last Update Date: 02/24/2016

Medicare PECOS Information:

PECOS PAC ID: 6103990163
Enrollment ID: I20080808000506

Medical Identifiers

Medical identifiers for Lanneau D Lide Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073549291	NPI	-	NPPES
102338	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	10233 (South Carolina)	Secondary
207RI0011X	Internal Medicine - Interventional Cardiology	10233 (South Carolina)	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. Lanneau D Lide Jr allows following entities to bill medicare on his behalf.

Entity Name	Kershaw Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033593454 PECOS PAC ID: 6608176987 Enrollment ID: O20151119000104

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. Lanneau D Lide Jr 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
Lanneau D Lide Jr, MD 2001 Laurel St, Columbia, SC 29204-1018 Ph: (803) 255-2655	Lanneau D Lide Jr, MD 2001 Laurel St, Columbia, SC 29204-1018 Ph: (803) 254-3278

Reviews and Comments

Internal Medicine Doctors in Columbia, SC

William Cole Andrew, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14 Richland Medical Park Dr Ste 320, Columbia, SC 29203 Phone: 803-434-8721
Seetharamprasad Madala, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 Sunset Dr, Columbia, SC 29203 Phone: 803-434-4153 Fax: 803-434-4160
Michael Martin, Internal Medicine Medicare: Medicare Enrolled Practice Location: 2 Medical Park Rd, Columbia, SC 29203 Phone: 803-434-6956
Dr. Terry A Grainger, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203 Phone: 803-434-3800 Fax: 803-744-2759
Dr. Adelero Olayinka Adebajo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1520 Laurel St, Columbia, SC 29201 Phone: 803-799-8407 Fax: 803-252-9070
James Pratt Iii, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1801 Sunset Dr, Columbia, SC 29203 Phone: 803-434-4153
Jeff Z Brooker Jr., MD, RETIRED Internal Medicine Medicare: Medicare Enrolled Practice Location: 1625 Bernardin Ave, Columbia, SC 29204 Phone: 803-251-8985

Lanneau D Lide Jr, MD - Medicare Internal Medicine in Columbia, SC