Sandra Lane, in Ogden, UT - Medicare Nurse Practitioner

Sandra Lane, is a medicare enrolled "Nurse Practitioner" in Ogden, Utah. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ryan K Anderson D P M P C and her current practice location is 5974 Fashion Point Dr Ste 110, Ogden, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 917-2270.

Sandra Lane is licensed to practice in Utah (license number 3852485-4405) 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 1710587332.

Contact Information

	Sandra Lane,
	5974 Fashion Point Dr Ste 110, Ogden, UT 84403-4712
	(801) 917-2270
	(385) 831-2987

Map and Direction

Provider's Profile

Full Name	Sandra Lane
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	5974 Fashion Point Dr Ste 110, Ogden, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Sandra Lane graduated from nursing school in 2020

NPI Data:

NPI Number: 1710587332
Provider Enumeration Date: 11/01/2020
Last Update Date: 09/22/2021

Medicare PECOS Information:

PECOS PAC ID: 2062821473
Enrollment ID: I20210513002733

Medical Identifiers

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

Identifier	Type	State	Issuer
1710587332	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	98524853102 (Utah)	Secondary
363L00000X	Nurse Practitioner	3852485-4405 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ryan K Anderson D P M P C	7517999121	27

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. Sandra Lane allows following entities to bill medicare on her behalf.

Entity Name	Ryan K Anderson D P M P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639200215 PECOS PAC ID: 7517999121 Enrollment ID: O20050903000007

Entity Name	Provas Of Salt Lake Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407410244 PECOS PAC ID: 1850620303 Enrollment ID: O20190909001007

Entity Name	Provas Of Ogden, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073170031 PECOS PAC ID: 2769815117 Enrollment ID: O20191126000546

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. Sandra 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
Sandra Lane, 5974 Fashion Point Dr Ste 110, Ogden, UT 84403-4712 Ph: (801) 917-2270	Sandra Lane, 5974 Fashion Point Dr Ste 110, Ogden, UT 84403-4712 Ph: (801) 917-2270

Reviews and Comments

Nurse Practitioner Nurses in Ogden, UT

Trisha B Sears, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-866-3714
Allyx Bowthorpe, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 434 E 5350 S Ste D, Ogden, UT 84405 Phone: 801-827-9100 Fax: 801-827-9110
Justin Robert Haslam, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5740 Crestwood Dr, Ogden, UT 84405 Phone: 801-479-7771 Fax: 801-479-7795
Carrie Hanni, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4403 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-7900 Fax: 801-387-7910
Lacey Kay Gordon, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1355 W 3400 S, Ogden, UT 84401 Phone: 801-387-6150 Fax: 801-399-2572
Maline Johanna Cropper, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1068 Harrop St, Ogden, UT 84404 Phone: 435-760-5797
Mrs. Victoria Dawn Olvera, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-2702

Sandra Lane, - Medicare Nurse Practitioner in Ogden, UT