| Pamela K Lane, NP | |
| 
					149 Norwood Dr, Bristol, VA 24201-1919  | |
| (423) 361-7690 | |
| Not Available | 
| Full Name | Pamela K Lane | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 149 Norwood Dr, Bristol, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1780106328 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024175087 (Virginia) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 23050 (Tennessee) | Primary | 
| Entity Name | Monogram Health Professional Services Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1134739089 PECOS PAC ID: 4880004183 Enrollment ID: O20201027002061  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Pamela K Lane, NP 149 Norwood Dr, Bristol, VA 24201-1919 Ph: () -  | Pamela K Lane, NP 149 Norwood Dr, Bristol, VA 24201-1919 Ph: (423) 361-7690  | 
Catherine Campbell Parker, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1662 Bonham Rd, Bristol, VA 24201 Phone: 276-644-9899 Fax: 276-644-9978  | |
Samantha Joline Fox, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Moore St Ste B, Bristol, VA 24201 Phone: 276-591-5448  | |
Jessica N Bembry, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 743 Island Rd, Bristol, VA 24201 Phone: 276-469-4200  | |
Chase Weaver, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 103 North St Ste A, Bristol, VA 24201 Phone: 423-844-5300 Fax: 423-844-5310  | |
Susan K Johnson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 W Valley Dr, Bristol, VA 24201 Phone: 276-466-1600 Fax: 276-466-2800  | |
Teresa A Roatsey, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 103 North St, Bristol, VA 24201 Phone: 423-844-6000 Fax: 423-844-5090  | |
Kathy Lynne Sharp, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 349 Island Rd, Bristol, VA 24201 Phone: 276-469-4200 Fax: 276-469-4249  |