Jessica Lynn Lane, CPNP-PC in Saint Clair Shores, MI

Jessica Lynn Lane, CPNP-PC is a medicare enrolled "Nurse Practitioner - Pediatrics" in Saint Clair Shores, Michigan. Her current practice location is 20225 E 9 Mile Rd, Saint Clair Shores, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 600-5349.

Jessica Lynn Lane is licensed to practice in Michigan (license number 4704342324) 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 1922767284.

Contact Information

	Jessica Lynn Lane, CPNP-PC
	20225 E 9 Mile Rd, Saint Clair Shores, MI 48080-1700
	(313) 600-5349
	Not Available

Map and Direction

Provider's Profile

Full Name	Jessica Lynn Lane
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	20225 E 9 Mile Rd, Saint Clair Shores, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922767284
Provider Enumeration Date: 12/14/2021
Last Update Date: 10/26/2022

Medicare PECOS Information:

PECOS PAC ID: 2062880644
Enrollment ID: I20221202000137

Medical Identifiers

Medical identifiers for Jessica Lynn Lane such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922767284	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0200X	Registered Nurse - Pediatrics	4704342324 (Michigan)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	4704342324 (Michigan)	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. Jessica Lynn Lane allows following entities to bill medicare on her behalf.

Entity Name	Ascension Michigan-cmg
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851765374 PECOS PAC ID: 7517162761 Enrollment ID: O20160127001523

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. Jessica Lynn 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
Jessica Lynn Lane, CPNP-PC 20225 E 9 Mile Rd, Saint Clair Shores, MI 48080-1700 Ph: (586) 772-1090	Jessica Lynn Lane, CPNP-PC 20225 E 9 Mile Rd, Saint Clair Shores, MI 48080-1700 Ph: (313) 600-5349

Reviews and Comments

Nurse Practitioner Nurses in Saint Clair Shores, MI

Nicole Irene Back, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22213 Love St, Saint Clair Shores, MI 48082 Phone: 734-626-4672
Carrie L Anderson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081 Phone: 586-771-4820 Fax: 586-771-6620
Jennifer Kulinski, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24800 Ursuline St, Saint Clair Shores, MI 48080 Phone: 586-945-5088
Mrs. Ayesha Massey Bennett, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25200 Little Mack Ave, Saint Clair Shores, MI 48081 Phone: 586-884-5656
Meghan Martinovski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25200 Little Mack Ave, Saint Clair Shores, MI 48081 Phone: 586-884-5656
Mr. Ronald August Bonaventura Jr., Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22432 Harper Lake Ave, Saint Clair Shores, MI 48080 Phone: 586-557-8398
Patricia West, PHD, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24911 Little Mack Ave, Suite C, Saint Clair Shores, MI 48080 Phone: 586-447-9070

Jessica Lynn Lane, CPNP-PC - Medicare Nurse Practitioner in Saint Clair Shores, MI