Jacqueline Bethany Lane, REGISTERED NURSE is a
Registered Nurse based in Stuyvesant, New York. Jacqueline Bethany Lane is licensed to practice in New York (license number 644601) and her current practice location is
80 Sunset Dr, Stuyvesant, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 929-6467.
NPI number for Jacqueline Bethany Lane is 1538730684 and her current mailing address is 80 Sunset Dr, Stuyvesant, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538730684.
Provider's Profile
| Full Name | Jacqueline Bethany Lane |
|---|
| Gender | Female |
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| Speciality | Registered Nurse |
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| Location | 80 Sunset Dr, Stuyvesant, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538730684
- Provider Enumeration Date: 07/08/2021
- Last Update Date: 07/08/2021
Medical Identifiers
Medical identifiers for Jacqueline Bethany Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1538730684 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 644601 (New York) | Primary |
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. Jacqueline Bethany Lane is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jacqueline Bethany Lane, REGISTERED NURSE 80 Sunset Dr, Stuyvesant, NY 12173-2416 Ph: (518) 929-6467 | Jacqueline Bethany Lane, REGISTERED NURSE 80 Sunset Dr, Stuyvesant, NY 12173-2416 Ph: (518) 929-6467 |
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