Ms Jacqueline Elizabeth Lane, MS is a
Psychologist - School based in Timmonsville, South Carolina. Ms Jacqueline Elizabeth Lane is licensed to practice in South Carolina (license number 4616) and her current practice location is
304 Kemper St, Timmonsville, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(843) 346-3956.
NPI number for Ms Jacqueline Elizabeth Lane is 1336571884 and her current mailing address is 304 Kemper St, Timmonsville, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336571884.
Healthcare Provider's Profile
Full Name | Ms Jacqueline Elizabeth Lane |
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Gender | Female |
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Speciality | Psychologist - School |
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Location | 304 Kemper St, Timmonsville, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336571884
- Provider Enumeration Date: 08/07/2013
- Last Update Date: 08/07/2013
Medical Identifiers
Medical identifiers for Ms Jacqueline Elizabeth Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336571884 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | 4616 (South Carolina) | Primary |
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. Ms Jacqueline Elizabeth Lane is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Jacqueline Elizabeth Lane, MS 304 Kemper St, Timmonsville, SC 29161-1922 Ph: (843) 346-3956 | Ms Jacqueline Elizabeth Lane, MS 304 Kemper St, Timmonsville, SC 29161-1922 Ph: (843) 346-3956 |
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