Crystal Dawn Lane, PMHNP-BC - Medicare Nurse Practitioner in Fort Myers, FL

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Crystal Dawn Lane, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fort Myers, Florida. She graduated from nursing school in 2022 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Honour Brite Llc, Therapy Treatment Team Llc and her current practice location is 12811 Kenwood Ln Ste 202, Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at (239) 537-9646.

Crystal Dawn Lane is licensed to practice in Florida (license number 11029121) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811633845.

Contact Information

Crystal Dawn Lane, PMHNP-BC
12811 Kenwood Ln Ste 202,
Fort Myers, FL 33907-5646
(239) 537-9646
(239) 236-0866

Map and Direction




Provider's Profile

Full NameCrystal Dawn Lane
GenderFemale
SpecialityNurse Practitioner
Experience2 Years
Location12811 Kenwood Ln Ste 202, Fort Myers, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Crystal Dawn Lane graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1811633845
  • Provider Enumeration Date: 05/11/2022
  • Last Update Date: 06/26/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4789061102
  • Enrollment ID: I20220524001275

Medical Identifiers

Medical identifiers for Crystal Dawn Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811633845NPI-NPPES
120758800MedicaidFL
420109430MedicaidMO
284170758MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 11029121 (Florida)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health 220223 (Arkansas)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 2022017504 (Missouri)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Honour Brite Llc397186458831
Therapy Treatment Team Llc044659445111

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. Crystal Dawn Lane allows following entities to bill medicare on her behalf.
Entity NameHonour Brite Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548760820
PECOS PAC ID: 3971864588
Enrollment ID: O20180222001519

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. Crystal Dawn 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 AddressPractice Location Address
Crystal Dawn Lane, PMHNP-BC
969 S Pinewood Ln,
Nixa, MO 65714-7031

Ph: (417) 350-8236		Crystal Dawn Lane, PMHNP-BC
12811 Kenwood Ln Ste 202,
Fort Myers, FL 33907-5646

Ph: (239) 537-9646

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.