| Dr Brian William Lane, MD | |
|
1201 N Elm, Prineville, OR 97754 | |
| (541) 447-6254 | |
| Not Available |
| Full Name | Dr Brian William Lane |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 37 Years |
| Location | 1201 N Elm, Prineville, Oregon |
| 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 |
|---|---|---|---|
| 1073540118 | NPI | - | NPPES |
| 8385643 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD19148 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Harrison Medical Center | Bremerton, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Sound Emergency Physicians Pllc | 9234133703 | 32 |
| Entity Name | West Sound Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568489243 PECOS PAC ID: 9234133703 Enrollment ID: O20060914000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian William Lane, MD 11436 Brian Ln Ne, Poulsbo, WA 98370-7919 Ph: () - | Dr Brian William Lane, MD 1201 N Elm, Prineville, OR 97754 Ph: (541) 447-6254 |
Douglas Chester Gruzd, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1201 Ne Elm, Prineville, OR 97754 Phone: 541-447-6254 Fax: 541-447-2511 | |
Barrett Jereme Woodhall, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1201 Ne Elm St, Prineville, OR 97754 Phone: 541-447-6254 | |
Dr. Daniel S Ballin, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1201 N Elm, Prineville, OR 97754 Phone: 541-447-6254 | |
David Ernest Magaret, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1201 Ne Elm St, Prineville, OR 97754 Phone: 541-447-6254 Fax: 541-447-2511 |