Mr Connor John Lane, is a medicare enrolled "Physician Assistant" in Gilford, New Hampshire. His current practice location is
14 Maple St Ste 210, Gilford, New Hampshire. You can reach out to his office (for appointments etc.) via phone at
(603) 527-7114.
Mr Connor John Lane is licensed to practice in * (Not Available) (license number ) 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 1285354100.
Provider's Profile
Full Name | Mr Connor John Lane |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 14 Maple St Ste 210, Gilford, New Hampshire |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1285354100
- Provider Enumeration Date: 08/31/2022
- Last Update Date: 08/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 2163877291
- Enrollment ID: I20231010003111
Medical Identifiers
Medical identifiers for Mr Connor John Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285354100 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | Primary |
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. Mr Connor John 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 |
Mr Connor John Lane, 14 Maple St Ste 210, Gilford, NH 03249-6580 Ph: () - | Mr Connor John Lane, 14 Maple St Ste 210, Gilford, NH 03249-6580 Ph: (603) 527-7114 |
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