Dr Jill Marie Lane, OD is a medicare enrolled "Optometrist" provider in Grangeville, Idaho. She went to Pacific University - College Of Optometry and graduated in 2005 and has 19 years of diverse experience with area of expertise as Optometry. Her current practice location is
405 E Main St, Grangeville, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 983-3732.
Dr Jill Marie Lane is licensed to practice in Idaho (license number ODP-100095) 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 1427119254.
Healthcare Provider's Profile
| Full Name | Dr Jill Marie Lane |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 19 Years |
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| Location | 405 E Main St, Grangeville, Idaho |
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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:
- Dr Jill Marie Lane attended and graduated from Pacific University - College Of Optometry in 2005
NPI Data:
- NPI Number: 1427119254
- Provider Enumeration Date: 12/13/2006
- Last Update Date: 01/12/2017
Medicare PECOS Information:
- PECOS PAC ID: 9739197807
- Enrollment ID: I20060331000014
Medical Identifiers
Medical identifiers for Dr Jill Marie Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427119254 | NPI | - | NPPES |
| 2031383 | Medicaid | WA | |
| V7168 | Other | ID | BLUE CROSS OF IDAHO |
| 807324600 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | ODP-100095 (Idaho) | 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. Dr Jill Marie Lane allows following entities to bill medicare on her behalf.
| Provider Name | Jill M Lane Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1902078785
PECOS PAC ID: 4385723782
Enrollment ID: O20080510000088 |
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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. Dr Jill Marie 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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Dr Jill Marie Lane, OD
217 Se 10th St,
Grangeville, ID 83530-5127
Ph: (208) 983-3494 | Dr Jill Marie Lane, OD
405 E Main St,
Grangeville, ID 83530-2239
Ph: (208) 983-3732 |
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