Tracy Elaine Lane, AGPCNP-CNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Hammon, Oklahoma. Her current practice location is
20169 E 960 Rd, Hammon, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(580) 309-0461.
Tracy Elaine Lane is licensed to practice in Oklahoma (license number 71743) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073099503.
Provider's Profile
| Full Name | Tracy Elaine Lane |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Adult Health |
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| Location | 20169 E 960 Rd, Hammon, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073099503
- Provider Enumeration Date: 07/18/2018
- Last Update Date: 07/18/2018
Medicare PECOS Information:
- PECOS PAC ID: 3274886270
- Enrollment ID: I20181022000074
Medical Identifiers
Medical identifiers for Tracy Elaine Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1073099503 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LA2200X | Nurse Practitioner - Adult Health | 71743 (Oklahoma) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tracy Elaine Lane allows following entities to bill medicare on her behalf.
| Entity Name | Urology Associates, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659313252 PECOS PAC ID: 5395763064 Enrollment ID: O20051110000841 |
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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. Tracy Elaine Lane is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Tracy Elaine Lane, AGPCNP-CNP 20169 E 960 Rd, Hammon, OK 73650-5032 Ph: (580) 309-0461 | Tracy Elaine Lane, AGPCNP-CNP 20169 E 960 Rd, Hammon, OK 73650-5032 Ph: (580) 309-0461 |
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