Mary Lane, LISW in Atlanta, GA - Medicare Social Worker Provider

Mary Lane, LISW is a medicare enrolled "Social Worker - Clinical" provider in Atlanta, Georgia. Her current practice location is 1401 Hosea Williams Dr Se, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 373-6614.

Mary Lane is licensed to practice in Georgia (license number CSW007041) 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 1215450234.

Contact Information

	Mary Lane, LISW
	1401 Hosea Williams Dr Se, Atlanta, GA 30317-1703
	(404) 373-6614
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Lane
Gender	Female
Speciality	Social Worker - Clinical
Location	1401 Hosea Williams Dr Se, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215450234
Provider Enumeration Date: 07/21/2017
Last Update Date: 07/16/2021

Medicare PECOS Information:

PECOS PAC ID: 1850659673
Enrollment ID: I20210205001315

Medical Identifiers

Medical identifiers for Mary Lane such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215450234	NPI	-	NPPES
003244836A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CSW007041 (Georgia)	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. Mary Lane allows following entities to bill medicare on her behalf.

Entity Name	Meridian Education Resource Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730305004 PECOS PAC ID: 1456583723 Enrollment ID: O20140502001158

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. Mary 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
Mary Lane, LISW 1353 George W Brumley Way Se, Atlanta, GA 30317-1743 Ph: (404) 373-6614	Mary Lane, LISW 1401 Hosea Williams Dr Se, Atlanta, GA 30317-1703 Ph: (404) 373-6614

Reviews and Comments

Social Worker in Atlanta, GA

Michael Kendrick Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 343 8th St Ne, #e-2, Atlanta, GA 30309 Phone: 678-895-8412 Fax: 404-879-0779
Ms. Susan Peterson-hazan, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1821 Clifton Rd Ne, Atlanta, GA 30329 Phone: 404-728-6273 Fax: 404-728-6577
Rick Bemis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 Virginia Ave, Suite 300, Atlanta, GA 30354 Phone: 404-438-2751 Fax: 404-761-7544
Ms. Phyllis Ann Glass, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1904 Monroe Dr Ne, Suite 120, Atlanta, GA 30324 Phone: 404-874-8294 Fax: 404-874-2020
Mrs. Alesia K Alexander Layne, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2048 Hosea L Williams Dr Ne, Suite A, Atlanta, GA 30317 Phone: 404-207-5024
Tzipporah R Gerson-miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1827 Powers Ferry Rd Se, Building 7 Suite 350, Atlanta, GA 30339 Phone: 404-913-1496
Louise Ann Hill, LCSW, M.DIV., D.MIN. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 251 Howard St Ne, Atlanta, GA 30317 Phone: 404-825-9170

Mary Lane, LISW - Medicare Clinical Social Worker in Atlanta, GA