| Jeffery Dale Lane, CRNA | |
|
300 W 27th St, Lumberton, NC 28358-3075 | |
| (910) 671-5000 | |
| Not Available |
| Full Name | Jeffery Dale Lane |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 15 Years |
| Location | 300 W 27th St, Lumberton, North Carolina |
| 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 |
|---|---|---|---|
| 1104129139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 176399 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mcleod Loris Hospital | Loris, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mcleod Physician Associates Ii | 8224031307 | 452 |
| Entity Name | Coastal Anesthesia Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609813179 PECOS PAC ID: 1850295650 Enrollment ID: O20031124000145 |
| Entity Name | Mcleod Physician Associates Ii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801990494 PECOS PAC ID: 8224031307 Enrollment ID: O20060926000568 |
| Entity Name | Beach Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215061429 PECOS PAC ID: 6103924014 Enrollment ID: O20070530000620 |
| Entity Name | Mcleod Loris Seacoast Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265708119 PECOS PAC ID: 9133394398 Enrollment ID: O20120710000230 |
| Entity Name | Atlantic Coast Anesthesia Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932641313 PECOS PAC ID: 3971887167 Enrollment ID: O20170308000291 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffery Dale Lane, CRNA 5210 Mcleod Rd, Lumberton, NC 28358-8509 Ph: (910) 671-3671 | Jeffery Dale Lane, CRNA 300 W 27th St, Lumberton, NC 28358-3075 Ph: (910) 671-5000 |
Amy L Roberts, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 W 27th St, Lumberton, NC 28358 Phone: 843-661-6215 | |
Charles A Woolley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 300 W 27th St, Lumberton, NC 28358 Phone: 910-671-5000 | |
Wanda C Untch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 W 27th St, Lumberton, NC 28358 Phone: 910-671-5000 | |
William Wieties, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 W 27th St, Lumberton, NC 28358 Phone: 910-671-5000 Fax: 910-738-3764 | |
Bonnie G Britt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 W 27th St, Lumberton, NC 28358 Phone: 910-671-5000 | |
Grant Hoffman Joerger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 W 27th St, Lumberton, NC 28358 Phone: 910-735-8176 |