Ms Cynthia Jean Lane, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Indian Lake, New York. Her current practice location is
143 White Birch Ln, Indian Lake, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 648-5355.
Ms Cynthia Jean Lane is licensed to practice in New York (license number 400384) 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 1972756450.
Provider's Profile
| Full Name | Ms Cynthia Jean Lane |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 143 White Birch Ln, Indian Lake, New York |
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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: 1972756450
- Provider Enumeration Date: 10/29/2008
- Last Update Date: 08/10/2012
Medicare PECOS Information:
- PECOS PAC ID: 5799007068
- Enrollment ID: I20141124001429
Medical Identifiers
Medical identifiers for Ms Cynthia Jean Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972756450 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 400384 (New York) | 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. Ms Cynthia Jean 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 |
|---|
Ms Cynthia Jean Lane, NP
143 White Birch Ln,
Indian Lake, NY 12842-1424
Ph: (518) 648-5355 | Ms Cynthia Jean Lane, NP
143 White Birch Ln,
Indian Lake, NY 12842-1424
Ph: (518) 648-5355 |
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