Karyn Rebecca Lane, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Wright City, Oklahoma. Her current practice location is
General Delivery, Wright City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(580) 981-2104.
Karyn Rebecca Lane is licensed to practice in Oklahoma (license number R0060099) 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 1306088927.
Provider's Profile
| Full Name | Karyn Rebecca Lane |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | General Delivery, Wright City, Oklahoma |
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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: 1306088927
- Provider Enumeration Date: 03/27/2009
- Last Update Date: 01/26/2015
Medicare PECOS Information:
- PECOS PAC ID: 3173670551
- Enrollment ID: I20090422000492
Medical Identifiers
Medical identifiers for Karyn Rebecca Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306088927 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | R0060099 (Oklahoma) | 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. Karyn Rebecca Lane allows following entities to bill medicare on her behalf.
| Entity Name | Mccurtain Memorial Medical Management, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629020177
PECOS PAC ID: 8022926252
Enrollment ID: O20040626000315 |
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| Entity Name | Mccurtain Memorial Medical Management, Inc. |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1063900975
PECOS PAC ID: 8022926252
Enrollment ID: O20180514000234 |
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| Entity Name | At Home By Choice Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497170609
PECOS PAC ID: 5890110456
Enrollment ID: O20200729000156 |
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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. Karyn Rebecca 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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Karyn Rebecca Lane, ARNP
Po Box 650,
Wright City, OK 74766-0650
Ph: (580) 981-2104 | Karyn Rebecca Lane, ARNP
General Delivery,
Wright City, OK 74766-9999
Ph: (580) 981-2104 |
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