Jeffery Lane Jr, AUD in Flagstaff, AZ - Medicare Audiologist Provider

Jeffery Lane Jr, AUD is a medicare enrolled "Audiologist" provider in Flagstaff, Arizona. His current practice location is 1330 N Rim Dr Ste B, Flagstaff, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 522-0500.

Jeffery Lane Jr is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104318997.

Contact Information

	Jeffery Lane Jr, AUD
	1330 N Rim Dr Ste B, Flagstaff, AZ 86001-3138
	(928) 522-0500
	(855) 433-1122

Map and Direction

Healthcare Provider's Profile

Full Name	Jeffery Lane Jr
Gender	Male
Speciality	Audiologist
Location	1330 N Rim Dr Ste B, Flagstaff, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104318997
Provider Enumeration Date: 06/06/2018
Last Update Date: 06/06/2018

Medicare PECOS Information:

PECOS PAC ID: 2961744347
Enrollment ID: I20190506000803

Medical Identifiers

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

Identifier	Type	State	Issuer
1104318997	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	(* (Not Available))	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. Jeffery Lane Jr allows following entities to bill medicare on his behalf.

Provider Name	Trinity Hearing Center, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770857781 PECOS PAC ID: 2668633694 Enrollment ID: O20120418000281

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. Jeffery Lane Jr 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
Jeffery Lane Jr, AUD 2700 S Woodlands Village Blvd Ste 300-409, Flagstaff, AZ 86001-7114 Ph: (928) 522-0500	Jeffery Lane Jr, AUD 1330 N Rim Dr Ste B, Flagstaff, AZ 86001-3138 Ph: (928) 522-0500

Reviews and Comments

Audiologist in Flagstaff, AZ

Ms. Susan Pomeroy Bassett, M.S. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1200 N Beaver St, Audiology Department, Flagstaff, AZ 86001 Phone: 928-214-3728 Fax: 928-773-2286
Kerry A Beasley, AU.D Audiologist Medicare: Accepting Medicare Assignments Practice Location: 77 W Forest Ave Ste 212, Flagstaff, AZ 86001 Phone: 928-773-2222 Fax: 928-773-2287
Danae M Foster, AUD., CCC-A Audiologist Medicare: Medicare Enrolled Practice Location: 405 N Beaver St Ste 4, Flagstaff, AZ 86001 Phone: 928-214-0907 Fax: 928-222-4008
Stephanie Watson, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-214-3728
Sarah E. Wright, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-773-2054 Fax: 928-773-2434
Erica Marissa Hansen, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 77 W Forest Ave, Suite 305, Flagstaff, AZ 86001 Phone: 928-773-2257 Fax: 928-773-2287

Jeffery Lane Jr, AUD - Medicare Audiologist in Flagstaff, AZ