Dr Michael Jennings Lane Sr, DNP PMHNP-BC - Medicare Nurse Practitioner in Crown Point, IN

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Dr Michael Jennings Lane Sr, DNP PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Crown Point, Indiana. His current practice location is 6625 W Lincoln Hwy, Crown Point, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 922-8051.

Dr Michael Jennings Lane Sr is licensed to practice in Indiana (license number 71011081A) 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 1457932337.

Contact Information

Dr Michael Jennings Lane Sr, DNP PMHNP-BC
6625 W Lincoln Hwy,
Crown Point, IN 46307-9678
(219) 922-8051
(219) 922-8608

Map and Direction




Provider's Profile

Full NameDr Michael Jennings Lane Sr
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location6625 W Lincoln Hwy, Crown Point, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457932337
  • Provider Enumeration Date: 04/21/2021
  • Last Update Date: 06/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5890194401
  • Enrollment ID: I20220919000980

Medical Identifiers

Medical identifiers for Dr Michael Jennings Lane Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457932337NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WE0003XRegistered Nurse - Emergency 041354134 (Illinois)Secondary
163WP0807XRegistered Nurse - Psychiatric/mental Health, Child & Adolescent 28230854A (Indiana)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 209023083 (Illinois)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 71011081A (Indiana)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. Dr Michael Jennings Lane Sr allows following entities to bill medicare on his behalf.
Entity NameDr Mary Tilak P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003096900
PECOS PAC ID: 1951490390
Enrollment ID: O20071207000544
Entity NameAims Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376072785
PECOS PAC ID: 6406126572
Enrollment ID: O20170721002478
Entity NameMunster Behavioral Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295330736
PECOS PAC ID: 5395113732
Enrollment ID: O20221116001638
Entity NameOptimed Healthcare Partners Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538840780
PECOS PAC ID: 6305283011
Enrollment ID: O20240318001092

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. Dr Michael Jennings Lane Sr 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
Dr Michael Jennings Lane Sr, DNP PMHNP-BC
11503 W 151st Ave,
Cedar Lake, IN 46303-9077

Ph: (708) 269-5263		Dr Michael Jennings Lane Sr, DNP PMHNP-BC
6625 W Lincoln Hwy,
Crown Point, IN 46307-9678

Ph: (219) 922-8051

Reviews and Comments


Nurse Practitioner Nurses in Crown Point, IN

Nichole Elaine Roberts, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9470 Broadway, Crown Point, IN 46307
Phone: 219-661-3260    Fax: 219-662-3770
James Brown,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2100 N Main St Ste 304, Crown Point, IN 46307
Phone: 574-546-1900    Fax: 574-546-1999
Mrs. Lydia C Buyco, ADULT NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 9330 South Broadway Blvd, Crown Point, IN 46307
Phone: 219-662-5072    
Faith A Ornelas, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2050 N Main St Ste C, Crown Point, IN 46307
Phone: 219-662-3300    Fax: 219-662-3301
Anita D Arthur, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2100 N Main St Ste 304, Crown Point, IN 46307
Phone: 574-546-1900    Fax: 574-546-1999
Mrs. Josefina Estrada Offredo, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 9330 South Broadway Blvd, Crown Point, IN 46307
Phone: 219-662-5072    
Jennifer Lee Virgl, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 12750 St Francis Dr, Crown Point, IN 46307
Phone: 219-757-6121    Fax: 219-681-6897

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.