Lane A Anderson, MSN RN PPCNP-BC CPN in Wichita Falls, TX

Lane A Anderson, MSN RN PPCNP-BC CPN is a medicare enrolled "Nurse Practitioner - Pediatrics" in Wichita Falls, Texas. His current practice location is 4420 Kimbell Dr, Wichita Falls, Texas. You can reach out to his office (for appointments etc.) via phone at (940) 696-1600.

Lane A Anderson is licensed to practice in Texas (license number AP139415) 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 1962978460.

Contact Information

	Lane A Anderson, MSN RN PPCNP-BC CPN
	4420 Kimbell Dr, Wichita Falls, TX 76302-3006
	(940) 696-1600
	(940) 696-1665

Map and Direction

Provider's Profile

Full Name	Lane A Anderson
Gender	Male
Speciality	Nurse Practitioner - Pediatrics
Location	4420 Kimbell Dr, Wichita Falls, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962978460
Provider Enumeration Date: 10/23/2018
Last Update Date: 10/23/2018

Medicare PECOS Information:

PECOS PAC ID: 0941549125
Enrollment ID: I20190306000306

Medical Identifiers

Medical identifiers for Lane A Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962978460	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	AP139415 (Texas)	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. Lane A Anderson allows following entities to bill medicare on his behalf.

Entity Name	North Central Texas Community Health Care Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255324141 PECOS PAC ID: 9931099215 Enrollment ID: O20040318001674

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. Lane A Anderson 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
Lane A Anderson, MSN RN PPCNP-BC CPN 200 Mlk Jr Blvd, Wichita Falls, TX 76301-1152 Ph: (940) 696-1600	Lane A Anderson, MSN RN PPCNP-BC CPN 4420 Kimbell Dr, Wichita Falls, TX 76302-3006 Ph: (940) 696-1600

Reviews and Comments

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Lane A Anderson, MSN RN PPCNP-BC CPN - Medicare Nurse Practitioner in Wichita Falls, TX