Dr Melissa Dettore Lane, is a medicare enrolled "Psychologist - Clinical" provider in Lawrence, New Jersey. She graduated from medical school in 2015 and has 10 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Senior Care Therapy Llc and 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
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 1902207285.
Healthcare Provider's Profile
| Full Name | Dr Melissa Dettore Lane |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 10 Years |
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| Location | 66 Birchwood Knls, Lawrence, New Jersey |
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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 Melissa Dettore Lane graduated from medical school in 2015
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 |
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| 1902207285 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 35SI00571900 (New Jersey) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Senior Care Therapy Llc | 0547335366 | 124 |
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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