Mrs Brooke Deann Lane, PT is a medicare enrolled "Physical Therapist" provider in Holland, Arkansas. Her current practice location is
14 Hideaway Rd, Holland, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(501) 428-0272.
Mrs Brooke Deann Lane is licensed to practice in Arkansas (license number 2521) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1871706895.
Healthcare Provider's Profile
Full Name | Mrs Brooke Deann Lane |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 14 Hideaway Rd, Holland, Arkansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1871706895
- Provider Enumeration Date: 05/07/2007
- Last Update Date: 02/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 3577815307
- Enrollment ID: I20181005002016
Medical Identifiers
Medical identifiers for Mrs Brooke Deann Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871706895 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 2521 (Arkansas) | 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. Mrs Brooke Deann Lane allows following entities to bill medicare on her behalf.
Provider Name | Physical Therapy Institute |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1497077648 PECOS PAC ID: 7214117001 Enrollment ID: O20110210001153 |
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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. Mrs Brooke Deann 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 |
Mrs Brooke Deann Lane, PT 14 Hideaway Rd, Holland, AR 72173-9823 Ph: (501) 428-0272 | Mrs Brooke Deann Lane, PT 14 Hideaway Rd, Holland, AR 72173-9823 Ph: (501) 428-0272 |
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