Derrick Lane, Md, Llc | |
818 Forsyth St Macon GA 31201-2139 | |
(478) 633-7010 | |
(478) 633-7585 |
Full Name | Derrick Lane, Md, Llc |
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Speciality | Family Medicine |
Location | 818 Forsyth St, Macon, Georgia |
Authorized Official Name and Position | Derrick Lane (OWNER) |
Authorized Official Contact | 4783351365 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Derrick Lane, Md, Llc Po Box 28170 Macon GA 31221-8170 Ph: () - | Derrick Lane, Md, Llc 818 Forsyth St Macon GA 31201-2139 Ph: (478) 633-7010 |
NPI Number | 1750620191 |
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Provider Enumeration Date | 02/05/2013 |
Last Update Date | 02/05/2013 |
Medicare PECOS PAC ID | 0547415309 |
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Medicare Enrollment ID | O20130227000369 |
Identifier | Type | State | Issuer |
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1750620191 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 052594 (Georgia) | Primary |
Provider Name | Derrick F Lane |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124079447 PECOS PAC ID: 3577502186 Enrollment ID: I20050503000132 |
Harvey Jones Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1385 Pio Nono Ave, Macon, GA 31204 Phone: 478-743-1883 | |
First Choice Primary Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 171 Emery Hwy, Macon, GA 31217 Phone: 478-787-4266 | |
Internal Medicine Associates, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330 Hospital Dr, Bldg C, Ste 200, Macon, GA 31217 Phone: 478-745-1191 Fax: 478-750-4669 | |
Grace Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 Charter Blvd, Suite 304, Macon, GA 31210 Phone: 478-405-0280 | |
Atlantic Hospitalist Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 1st St, Macon, GA 31201 Phone: 478-744-9603 Fax: 478-744-9552 | |
Ketamine Centers Of Central Georgia Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3312 Northside Dr Ste D235, Macon, GA 31210 Phone: 478-201-9220 Fax: 478-203-9322 | |
Family Care Of Middle Georgia Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3203 Vineville Ave, Macon, GA 31204 Phone: 478-471-0273 Fax: 478-471-1471 |