Dr Melissa Dettore Lane, is a medicare enrolled "Psychologist - Clinical" provider in Lawrence, New Jersey. Her current practice location is
66 Birchwood Knls, Lawrence, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(215) 432-3432.
Dr Melissa Dettore Lane is licensed to practice in New Jersey (license number 35SI00571900) 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 1902207285.
Healthcare Provider's Profile
Full Name | Dr Melissa Dettore Lane |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 66 Birchwood Knls, Lawrence, New Jersey |
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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: 1902207285
- Provider Enumeration Date: 09/05/2014
- Last Update Date: 09/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 2860924990
- Enrollment ID: I20241015000804
Medical Identifiers
Medical identifiers for Dr Melissa Dettore Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902207285 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 35SI00571900 (New Jersey) | 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 Melissa Dettore Lane allows following entities to bill medicare on her behalf.
Entity Name | Senior Care Therapy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285898098 PECOS PAC ID: 0547335366 Enrollment ID: O20080813000563 |
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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 Melissa Dettore 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 |
Dr Melissa Dettore Lane, 66 Birchwood Knls, Lawrence, NJ 08648-3646 Ph: (215) 432-3432 | Dr Melissa Dettore Lane, 66 Birchwood Knls, Lawrence, NJ 08648-3646 Ph: (215) 432-3432 |
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