David J Lane, AUD, CCC-A - Medicare Audiologist in Mount Vernon, IL

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David J Lane, AUD, CCC-A is a medicare enrolled "Audiologist" provider in Mount Vernon, Illinois. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Qualified Audiologist. He is a member of the group practice Deaconess Illinois Specialty Clinic, Inc. and his current practice location is 4117 S Water Tower Pl, Suite C, Mount Vernon, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 242-0672.

David J Lane is licensed to practice in Illinois (license number 147-000854) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164472155.

Contact Information

David J Lane, AUD, CCC-A
4117 S Water Tower Pl, Suite C,
Mount Vernon, IL 62864-6293
(618) 242-0672
(618) 242-0862

Map and Direction




Healthcare Provider's Profile

Full NameDavid J Lane
GenderMale
SpecialityQualified Audiologist
Experience24 Years
Location4117 S Water Tower Pl, Mount Vernon, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • David J Lane graduated from medical school in 2000
  NPI Data:
  • NPI Number: 1164472155
  • Provider Enumeration Date: 05/11/2006
  • Last Update Date: 08/30/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 7618978479
  • Enrollment ID: I20070122000148

Medical Identifiers

Medical identifiers for David J Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164472155NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist 147-000854 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Deaconess Illinois Specialty Clinic, Inc.983056201681

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. David J Lane allows following entities to bill medicare on his behalf.
Provider NameHeartland Rural Healthcare Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1275166134
PECOS PAC ID: 3072513043
Enrollment ID: O20061226000075
Provider NameDavid J. Lane, Ltd.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1821158833
PECOS PAC ID: 5991706756
Enrollment ID: O20070122000133
Provider NameKing City Physician Company Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1134470859
PECOS PAC ID: 1254584154
Enrollment ID: O20121228000298
Provider NameDeaconess Illinois Specialty Clinic, Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1972210235
PECOS PAC ID: 9830562016
Enrollment ID: O20230321001688

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. David J 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 AddressPractice Location Address
David J Lane, AUD, CCC-A
4117 S Water Tower Pl, Suite C,
Mount Vernon, IL 62864-6293

Ph: (618) 242-0672		David J Lane, AUD, CCC-A
4117 S Water Tower Pl, Suite C,
Mount Vernon, IL 62864-6293

Ph: (618) 242-0672

Reviews and Comments


Audiologist in Mount Vernon, IL

David J. Lane, Ltd.
Audiologist
Medicare: Medicare Enrolled
Practice Location: 4117 S Water Tower Pl, Suite C, Mount Vernon, IL 62864
Phone: 618-242-0672    Fax: 618-242-0862

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.