Pamela K Lane, NP | |
149 Norwood Dr, Bristol, VA 24201-1919 | |
(423) 361-7690 | |
Not Available |
Full Name | Pamela K Lane |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 149 Norwood Dr, Bristol, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1780106328 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024175087 (Virginia) | Secondary |
363LF0000X | Nurse Practitioner - Family | 23050 (Tennessee) | Primary |
Entity Name | Monogram Health Professional Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134739089 PECOS PAC ID: 4880004183 Enrollment ID: O20201027002061 |
Mailing Address | Practice Location Address |
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Pamela K Lane, NP 149 Norwood Dr, Bristol, VA 24201-1919 Ph: () - | Pamela K Lane, NP 149 Norwood Dr, Bristol, VA 24201-1919 Ph: (423) 361-7690 |
Samantha Joline Fox, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Moore St Ste B, Bristol, VA 24201 Phone: 276-591-5448 | |
Jessica N Bembry, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 743 Island Rd, Bristol, VA 24201 Phone: 276-469-4200 | |
Chase Weaver, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 103 North St Ste A, Bristol, VA 24201 Phone: 423-844-5300 Fax: 423-844-5310 | |
Susan K Johnson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 W Valley Dr, Bristol, VA 24201 Phone: 276-466-1600 Fax: 276-466-2800 | |
Teresa A Roatsey, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 103 North St, Bristol, VA 24201 Phone: 423-844-6000 Fax: 423-844-5090 | |
Kathy Lynne Sharp, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 349 Island Rd, Bristol, VA 24201 Phone: 276-469-4200 Fax: 276-469-4249 | |
Stephanie Branham, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2195 Euclid Ave, Bristol, VA 24201 Phone: 276-669-5179 Fax: 276-466-8870 |