Kristopher Olen Lane, FNP - Medicare Nurse Practitioner in Latta, SC

  1. Home
  2. Nurse Practitioner
  3. SC
  4. Latta
Kristopher Olen Lane, FNP is a medicare enrolled "Nurse Practitioner - Family" in Latta, South Carolina. His current practice location is 122 Latimer St, Latta, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 627-6252.

Kristopher Olen Lane is licensed to practice in South Carolina (license number 20909) 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 1306378856.

Contact Information

Kristopher Olen Lane, FNP
122 Latimer St,
Latta, SC 29565-1828
(843) 627-6252
Not Available

Map and Direction




Provider's Profile

Full NameKristopher Olen Lane
GenderMale
SpecialityNurse Practitioner - Family
Location122 Latimer St, Latta, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306378856
  • Provider Enumeration Date: 04/03/2017
  • Last Update Date: 04/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0143599233
  • Enrollment ID: I20170705002434

Medical Identifiers

Medical identifiers for Kristopher Olen Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306378856NPI-NPPES
SCA484OtherSCMEDICARE
NP4553MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 20909 (South Carolina)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. Kristopher Olen Lane allows following entities to bill medicare on his behalf.
Entity NameCaresouth Carolina Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720082571
PECOS PAC ID: 1052221314
Enrollment ID: O20040511000280
Entity NameLowcountry Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326364100
PECOS PAC ID: 9739210337
Enrollment ID: O20100625000517

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. Kristopher Olen 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
Kristopher Olen Lane, FNP
Po Box 1090,
Hartsville, SC 29551-1090

Ph: (843) 857-0111		Kristopher Olen Lane, FNP
122 Latimer St,
Latta, SC 29565-1828

Ph: (843) 627-6252

Reviews and Comments


Nurse Practitioner Nurses in Latta, SC

Mrs. Sharonda Rawls Legette, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 122 Latimer St, Latta, SC 29565
Phone: 843-627-6252    Fax: 843-627-6271

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.