Ms Teresa Parham Lane, PMHCNS, FNP is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in Ellijay, Georgia. She went to Emory University School Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). She is a member of the group practice Personal Recovery Network Llc and her current practice location is
420 Briar Creek Rd, Ellijay, Georgia. You can reach out to her office (for appointments etc.) via phone at
(404) 663-6400.
Ms Teresa Parham Lane is licensed to practice in Georgia (license number RN074324) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770638397.
Provider's Profile
| Full Name | Ms Teresa Parham Lane |
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| Gender | Female |
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| Speciality | Certified Clinical Nurse Specialist (cns) |
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| Experience | 32 Years |
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| Location | 420 Briar Creek Rd, Ellijay, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Teresa Parham Lane attended and graduated from Emory University School Of Medicine in 1992
NPI Data:
- NPI Number: 1770638397
- Provider Enumeration Date: 01/24/2007
- Last Update Date: 03/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 8729035282
- Enrollment ID: I20050408000367
Medical Identifiers
Medical identifiers for Ms Teresa Parham Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770638397 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | RN74324 (Georgia) | Secondary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | RN074324 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Personal Recovery Network Llc | 5092611384 | 334 |
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 Teresa Parham Lane allows following entities to bill medicare on her behalf.
| Entity Name | Personal Recovery Network Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881990869
PECOS PAC ID: 5092611384
Enrollment ID: O20120110000096 |
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| Entity Name | Douglas County Community Services Board |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720128879
PECOS PAC ID: 0143653014
Enrollment ID: O20191206001032 |
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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 Teresa Parham 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 |
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Ms Teresa Parham Lane, PMHCNS, FNP
420 Briar Creek Rd,
Ellijay, GA 30540-1220
Ph: (404) 663-6400 | Ms Teresa Parham Lane, PMHCNS, FNP
420 Briar Creek Rd,
Ellijay, GA 30540-1220
Ph: (404) 663-6400 |
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