Jessica Elizabeth Lane, OTR/L is a medicare enrolled "Occupational Therapist" provider in Peru, Indiana. Her current practice location is
751 W 2nd St Ste 200, Peru, Indiana. You can reach out to her office (for appointments etc.) via phone at
(765) 919-4444.
Jessica Elizabeth Lane is licensed to practice in Indiana (license number 31007603A) 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 1629509427.
Healthcare Provider's Profile
| Full Name | Jessica Elizabeth Lane |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 751 W 2nd St Ste 200, Peru, Indiana |
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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: 1629509427
- Provider Enumeration Date: 03/23/2017
- Last Update Date: 09/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 5597157768
- Enrollment ID: I20220120000667
Medical Identifiers
Medical identifiers for Jessica Elizabeth Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629509427 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225X00000X | Occupational Therapist | 32003154A (Indiana) | Secondary |
| 225X00000X | Occupational Therapist | 31007603A (Indiana) | 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. Jessica Elizabeth Lane allows following entities to bill medicare on her behalf.
| Provider Name | Ivyrehab Physical Therapy Pllc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1750764494 PECOS PAC ID: 7012997638 Enrollment ID: O20151211000959 |
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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. Jessica Elizabeth 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 |
Jessica Elizabeth Lane, OTR/L 519 York Rd, Galveston, IN 46932-9775 Ph: (765) 480-8161 | Jessica Elizabeth Lane, OTR/L 751 W 2nd St Ste 200, Peru, IN 46970-1385 Ph: (765) 919-4444 |
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