Vicki L Lane, PHD in Chandler, AZ - Medicare Psychologist Provider

Vicki L Lane, PHD is a medicare enrolled "Psychologist" provider in Chandler, Arizona. Her current practice location is 1600 W Chandler Blvd Ste 110, Chandler, Arizona. You can reach out to her office (for appointments etc.) via phone at (415) 296-5290.

Vicki L Lane is licensed to practice in Arizona (license number PSY-005255) 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 1265509897.

Contact Information

	Vicki L Lane, PHD
	1600 W Chandler Blvd Ste 110, Chandler, AZ 85224-6100
	(415) 296-5290
	(415) 296-5299

Map and Direction

Healthcare Provider's Profile

Full Name	Vicki L Lane
Gender	Female
Speciality	Psychologist
Location	1600 W Chandler Blvd Ste 110, Chandler, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265509897
Provider Enumeration Date: 11/29/2006
Last Update Date: 12/16/2021

Medicare PECOS Information:

PECOS PAC ID: 8729153739
Enrollment ID: I20230823001677

Medical Identifiers

Medical identifiers for Vicki L Lane such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265509897	NPI	-	NPPES
000000247634	Other	IN	ANTHEM
100437960	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSY-005255 (Arizona)	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. Vicki L Lane allows following entities to bill medicare on her behalf.

Entity Name	Pacific Coast Psychiatric Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023125465 PECOS PAC ID: 2567469174 Enrollment ID: O20230709000038

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. Vicki L 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
Vicki L Lane, PHD Po Box 3276, Evansville, IN 47731-3276 Ph: (812) 473-0181	Vicki L Lane, PHD 1600 W Chandler Blvd Ste 110, Chandler, AZ 85224-6100 Ph: (415) 296-5290

Reviews and Comments

Psychologist in Chandler, AZ

Dr. Bennette Renee Dawson, ED.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1525 W Frye Rd, Chandler, AZ 85224 Phone: 480-812-7000
Mr. Gregory S Wilson, SSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1525 W Frye Rd, Chandler, AZ 85224 Phone: 480-812-7000
Dr. Jonna Dunlap, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 283 N. Arizona Avenue, Suite 1, Chandler, AZ 85225 Phone: 480-652-6505 Fax: 888-887-4430
Ascencion Alexander, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1525 W Frye Rd, Chandler, AZ 85224 Phone: 480-812-7000
Dr. Cherish Deoliveira, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 W Chandler Blvd Ste 110, Chandler, AZ 85224 Phone: 480-524-0990 Fax: 702-977-7488
Kevin Richard Zeller, MSE Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1525 W Frye Rd, Chandler, AZ 85224 Phone: 480-812-7000
Sonia G. Tabarez-stratton, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1525 W Frye Rd, Chandler, AZ 85224 Phone: 480-812-7000

Vicki L Lane, PHD - Medicare Psychologist in Chandler, AZ