Tracy Elaine Lane, AGPCNP-CNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Hammon, Oklahoma. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Urology Associates, Inc. and her current practice location is
20169 E 960 Rd, Hammon, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(580) 309-0461.
Tracy Elaine Lane is licensed to practice in Oklahoma (license number 71743) 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 1073099503.
Provider's Profile
| Full Name | Tracy Elaine Lane |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 20169 E 960 Rd, Hammon, Oklahoma |
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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:
- Tracy Elaine Lane graduated from nursing school in 2017
NPI Data:
- NPI Number: 1073099503
- Provider Enumeration Date: 07/18/2018
- Last Update Date: 07/18/2018
Medicare PECOS Information:
- PECOS PAC ID: 3274886270
- Enrollment ID: I20181022000074
Medical Identifiers
Medical identifiers for Tracy Elaine Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073099503 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | 71743 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Urology Associates, Inc. | 5395763064 | 12 |
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. Tracy Elaine Lane allows following entities to bill medicare on her behalf.
| Entity Name | Urology Associates, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659313252
PECOS PAC ID: 5395763064
Enrollment ID: O20051110000841 |
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| Entity Name | Western Oklahoma Urology Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134536774
PECOS PAC ID: 3274857131
Enrollment ID: O20150123001554 |
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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. Tracy Elaine 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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Tracy Elaine Lane, AGPCNP-CNP
20169 E 960 Rd,
Hammon, OK 73650-5032
Ph: (580) 309-0461 | Tracy Elaine Lane, AGPCNP-CNP
20169 E 960 Rd,
Hammon, OK 73650-5032
Ph: (580) 309-0461 |
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