| Laura M Lane, CRNA | |
|
580 W College Ave, Marquette, MI 49855-2705 | |
| (906) 225-3406 | |
| (906) 225-3094 |
| Full Name | Laura M Lane |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 30 Years |
| Location | 580 W College Ave, Marquette, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497737217 | NPI | - | NPPES |
| 104563202 | Medicaid | MI | |
| P00108337 | Other | MI | RAILROAD MEDICARE PIN |
| LL125107 | Other | MI | BLUESHIELD PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704125107 (Michigan) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 201901511CRNA (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairbanks Memorial Hospital | Fairbanks, AK | Hospital |
| United Memorial Medical Center | Batavia, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Niagara Frontier Anesthesia Services Llp | 8628963915 | 15 |
| Northern Maine Medical Center | 8426952987 | 40 |
| Tanana Valley Clinic Llc | 5698056901 | 131 |
| Entity Name | Niagara Frontier Anesthesia Services Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962444505 PECOS PAC ID: 8628963915 Enrollment ID: O20040217000016 |
| Entity Name | Premier Anesthesia Of New York, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063658961 PECOS PAC ID: 7719041102 Enrollment ID: O20090129000560 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura M Lane, CRNA 3138 N Lakeshore Blvd, Marquette, MI 49855-2025 Ph: (906) 226-6008 | Laura M Lane, CRNA 580 W College Ave, Marquette, MI 49855-2705 Ph: (906) 225-3406 |
Peter Skellenger, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 714 Spruce St, Apt #e, Marquette, MI 49855 Phone: 906-399-3611 | |
Sandra L Wachter, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-3406 Fax: 906-225-3094 | |
Janet M Simula, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-3406 Fax: 906-225-3094 | |
Kenneth L Mcneely, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-3406 Fax: 906-225-3094 | |
Lisa A Kuopus, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-3406 Fax: 906-225-3094 | |
Joseph Morris Holcomb, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-3595 | |
Laura V Brouillette, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-228-9440 |