| Lisa Michelle Lane, | |
|
200 E Livingston St, San Augustine, TX 75972-2028 | |
| (322) 759-9109 | |
| Not Available |
| Full Name | Lisa Michelle Lane |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 200 E Livingston St, San Augustine, Texas |
| 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 |
|---|---|---|---|
| 1366106759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1057387 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| A Pineywoods Home Health Care Inc | Lufkin, TX | Home health agency |
| Texas Home Health Skilled Services | Nacogdoches, TX | Home health agency |
| Sabine County Hospital | Hemphill, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Preferred Hospital Leasing Hemphill, Inc. | 1759467111 | 8 |
| Entity Name | Baylor St Lukes Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740485879 PECOS PAC ID: 9133213192 Enrollment ID: O20070920000863 |
| Entity Name | Preferred Hospital Leasing Hemphill, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811256696 PECOS PAC ID: 1759467111 Enrollment ID: O20090106000543 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Michelle Lane, 200 E Livingston St, San Augustine, TX 75972-2028 Ph: (322) 759-9109 | Lisa Michelle Lane, 200 E Livingston St, San Augustine, TX 75972-2028 Ph: (322) 759-9109 |
Chivas Paul Guillote, APRN, FNP, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 511 Hospital Street, Emergency Department, San Augustine, TX 75972 Phone: 936-275-3446 | |
Sharon Kay Oglesbee, RN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 504 E Hospital St, San Augustine, TX 75972 Phone: 936-275-9716 Fax: 936-275-9059 | |
Christina Watson, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 606 W Columbia St, San Augustine, TX 75972 Phone: 936-275-2940 Fax: 936-275-2954 | |
Mariana Mendoza, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 E Hospital St, San Augustine, TX 75972 Phone: 936-275-4420 | |
Mrs. Stacie L Edwards, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 504 E. Hospital Street, San Augustine, TX 75972 Phone: 936-275-9716 |