| Edward Lane, | |
|
820 Memorial St Ste 1, Prosser, WA 99350-2504 | |
| (509) 786-2010 | |
| (509) 788-1794 |
| Full Name | Edward Lane |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 36 Years |
| Location | 820 Memorial St Ste 1, Prosser, Washington |
| 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 |
|---|---|---|---|
| 1013023738 | NPI | - | NPPES |
| 911019392 | Other | COMMERCIAL | |
| 9392LA | Other | WA | REGENCE |
| 8142218 | Other | WA | CHPW |
| 1306897681 | Other | NPI PROSSER MEMORIAL | |
| 8142218 | Medicaid | WA | |
| 0200684 | Other | WA | L & I |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00029197 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tri-cities Home Health | Kennewick, WA | Home health agency |
| Prosser Memorial Hospital | Prosser, WA | Hospital |
| Kadlec Regional Medical Center | Richland, WA | Hospital |
| Virginia Mason Memorial | Yakima, WA | Hospital |
| Astria Sunnyside Hospital | Sunnyside, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Yakima Valley Farm Workers Clinic | 4385541986 | 222 |
| Entity Name | Yakima Valley Farm Workers Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295788602 PECOS PAC ID: 4385541986 Enrollment ID: O20040211000663 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Lane, 820 Memorial St Ste 1, Prosser, WA 99350-2504 Ph: (509) 786-2010 | Edward Lane, 820 Memorial St Ste 1, Prosser, WA 99350-2504 Ph: (509) 786-2010 |
Katheryn Norris, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Memorial St Ste 1, Prosser, WA 99350 Phone: 509-786-2010 Fax: 509-788-1794 | |
Kiranmayi Korimerla, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 336 Chardinnay Ave #a, Kadlec Clinic Prosser Primary Care, Prosser, WA 99350 Phone: 509-786-2002 Fax: 509-786-2026 | |
Dr. Ben Williams Sonnichsen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 820 Memorial Street, Suite 1, Prosser, WA 99350 Phone: 509-786-2010 Fax: 509-788-1794 | |
Joji Kohjima, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Memorial St Ste 1, Prosser, WA 99350 Phone: 509-786-2010 Fax: 509-788-1794 | |
Jessica Roberts, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Memorial St Ste 1, Prosser, WA 99350 Phone: 509-786-2010 Fax: 509-788-1794 | |
Dr. Asuquo A Esuabana, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 723 Memorial St, Prosser, WA 99350 Phone: 509-786-2307 |