Jane Campbell Dunlap, APRN, CRNP is a medicare enrolled "Specialist" in Lagrange, Georgia. Her current practice location is
1551 Doctors Drive, Lagrange, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 884-2641.
Jane Campbell Dunlap is licensed to practice in Georgia (license number RN201888) 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 1134361686.
Provider's Profile
| Full Name | Jane Campbell Dunlap |
|---|
| Gender | Female |
|---|
| Speciality | Specialist |
|---|
| Location | 1551 Doctors Drive, Lagrange, Georgia |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1134361686
- Provider Enumeration Date: 03/30/2009
- Last Update Date: 08/13/2012
Medicare PECOS Information:
- PECOS PAC ID: 7719039536
- Enrollment ID: I20230612003289
Medical Identifiers
Medical identifiers for Jane Campbell Dunlap such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134361686 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | RN201888 (Georgia) | Secondary |
| 174400000X | Specialist | RN201888 (Georgia) | 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. Jane Campbell Dunlap allows following entities to bill medicare on her behalf.
| Entity Name | Conviva Medical Center Management, Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1649324278
PECOS PAC ID: 4284717422
Enrollment ID: O20080212000415 |
|---|
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. Jane Campbell Dunlap 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 |
|---|
Jane Campbell Dunlap, APRN, CRNP
1551 Doctors Drive,
Lagrange, GA 30240-4139
Ph: (706) 884-2641 | Jane Campbell Dunlap, APRN, CRNP
1551 Doctors Drive,
Lagrange, GA 30240-4139
Ph: (706) 884-2641 |
Reviews and Comments