| Derrick F Lane, MD | |
|
818 Forsyth Street, Macon, GA 31201-2139 | |
| (478) 633-7010 | |
| Not Available |
| Full Name | Derrick F Lane |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 818 Forsyth Street, Macon, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124079447 | NPI | - | NPPES |
| 155203137B | Medicaid | GA | |
| 155203137C | Medicaid | GA | |
| P00Q81500 | Other | GA | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 052594 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Houston Medical Center | Warner robins, GA | Hospital |
| Jasper Memorial Hospital | Monticello, GA | Hospital |
| Medical Center, Navicent Health (the) | Macon, GA | Hospital |
| Entity Name | Jasper Health Services Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225031750 PECOS PAC ID: 7214901230 Enrollment ID: O20040824001236 |
| Entity Name | Houston Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891808499 PECOS PAC ID: 4284797580 Enrollment ID: O20091130000039 |
| Entity Name | Derrick Lane Md, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750620191 PECOS PAC ID: 0547415309 Enrollment ID: O20130227000369 |
| Mailing Address | Practice Location Address |
|---|---|
| Derrick F Lane, MD P.o. Box 28170, Macon, GA 31221-8170 Ph: (478) 254-5943 | Derrick F Lane, MD 818 Forsyth Street, Macon, GA 31201-2139 Ph: (478) 633-7010 |
Dr. Shuichi Nakai, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3780 Eisenhower Pkwy, Macon, GA 31206 Phone: 478-633-5550 Fax: 478-633-7287 | |
Kamilya Hunter, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 3780 Eisenhower Pkwy, Macon, GA 31206 Phone: 478-633-5500 Fax: 478-784-5496 | |
Dr. Robert C Jones, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 Riverside Dr Ste B300, Macon, GA 31210 Phone: 478-405-5252 Fax: 478-477-8411 | |
Alice Rose House, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1550 College St, Suite A, Macon, GA 31207 Phone: 478-301-4111 Fax: 478-301-5812 | |
John Norman Winnie Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Martin Luther King Jr Blvd, Macon, GA 31201 Phone: 478-301-4111 Fax: 478-301-5812 | |
Dione Duc, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Hemlock St # 104, Macon, GA 31201 Phone: 478-633-7550 Fax: 478-633-3235 | |
Collier Branan Gladin Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 140 N Crest Blvd, Macon, GA 31210 Phone: 478-757-8335 Fax: 478-757-8353 |