Ms Judy Lane, NP, RN in San Rafael, CA - Medicare Nurse Practitioner

Ms Judy Lane, NP, RN is a medicare enrolled "Nurse Practitioner - Adult Health" in San Rafael, California. Her current practice location is 25 Mitchell Blvd, Suite 8, San Rafael, California. You can reach out to her office (for appointments etc.) via phone at (415) 472-2343.

Ms Judy Lane is licensed to practice in California (license number 501901) 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 1043420896.

Contact Information

	Ms Judy Lane, NP, RN
	25 Mitchell Blvd, Suite 8, San Rafael, CA 94903-2007
	(415) 472-2343
	(415) 472-7636

Map and Direction

Provider's Profile

Full Name	Ms Judy Lane
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	25 Mitchell Blvd, San Rafael, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043420896
Provider Enumeration Date: 05/23/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2163672676
Enrollment ID: I20121018000344

Medical Identifiers

Medical identifiers for Ms Judy Lane such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043420896	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	501901 (California)	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. Ms Judy Lane allows following entities to bill medicare on her behalf.

Entity Name	Preventive Medical Center Of Marin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912067828 PECOS PAC ID: 4688734445 Enrollment ID: O20081201000621

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 Judy 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 Judy Lane, NP, RN 30 Marin Valley Dr, Novato, CA 94949-6806 Ph: (415) 883-3955	Ms Judy Lane, NP, RN 25 Mitchell Blvd, Suite 8, San Rafael, CA 94903-2007 Ph: (415) 472-2343

Reviews and Comments

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Stephanie Arria Nekoroski, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 H St, San Rafael, CA 94901 Phone: 415-459-4907
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Ms Judy Lane, NP, RN - Medicare Nurse Practitioner in San Rafael, CA