Charity Angela Lane, APRN is a medicare enrolled "Nurse Practitioner - Family" in Caraway, Arkansas. Her current practice location is
104 West State St, Caraway, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 956-0200.
Charity Angela Lane is licensed to practice in Arkansas (license number 121536) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1225679558.
Provider's Profile
| Full Name | Charity Angela Lane |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 104 West State St, Caraway, Arkansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1225679558
- Provider Enumeration Date: 10/08/2019
- Last Update Date: 10/08/2019
Medicare PECOS Information:
- PECOS PAC ID: 3779916788
- Enrollment ID: I20191205001201
Medical Identifiers
Medical identifiers for Charity Angela Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225679558 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 121536 (Arkansas) | 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. Charity Angela Lane allows following entities to bill medicare on her behalf.
| Entity Name | Access Medical Clinic Arkansas Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578007647
PECOS PAC ID: 5890077093
Enrollment ID: O20170124001288 |
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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. Charity Angela 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 |
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Charity Angela Lane, APRN
101 W Main St,
Hardy, AR 72542-9566
Ph: () - | Charity Angela Lane, APRN
104 West State St,
Caraway, AR 72419-8553
Ph: (870) 956-0200 |
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