Mr Thomas James Lane, is a medicare enrolled "Social Worker - Clinical" provider in Cooperstown, New York. He graduated from healthcare school in 2015 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Mary Imogene Bassett Hospital, Brightside Health Inc and his current practice location is
1 Atwell Rd, Cooperstown, New York. You can reach out to his office (for appointments etc.) via phone at
(607) 547-3456.
Mr Thomas James Lane is licensed to practice in New York (license number 090358) 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 1366961369.
Healthcare Provider's Profile
| Full Name | Mr Thomas James Lane |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 11 Years |
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| Location | 1 Atwell Rd, Cooperstown, New York |
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| Accepts Medicare Assignments | Yes. He 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:
- Mr Thomas James Lane graduated from medical school in 2015
NPI Data:
- NPI Number: 1366961369
- Provider Enumeration Date: 09/12/2017
- Last Update Date: 10/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 4183088065
- Enrollment ID: I20251009004528
Medical Identifiers
Medical identifiers for Mr Thomas James Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1366961369 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 13915 (Texas) | Secondary |
| 104100000X | Social Worker | 61498 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 090358 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mary Imogene Bassett Hospital | 3779488325 | 780 |
| Brightside Health Inc | 9234525098 | 213 |
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. Mr Thomas James Lane allows following entities to bill medicare on his behalf.
| Entity Name | Mary Imogene Bassett Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083664221
PECOS PAC ID: 3779488325
Enrollment ID: O20031205000553 |
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| Entity Name | Mary Imogene Bassett Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083664221
PECOS PAC ID: 3779488325
Enrollment ID: O20040120000834 |
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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. Mr Thomas James 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 |
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Mr Thomas James Lane,
1 Atwell Rd,
1 Atwell Rd, NY 13326
Ph: (607) 547-3480 | Mr Thomas James Lane,
1 Atwell Rd,
Cooperstown, NY 13326
Ph: (607) 547-3456 |
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