Lane Medina, DDS - Medicare Dentist in Cottonwood, AZ

Lane Medina, DDS is a medicare enrolled "Dentist - General Practice" provider in Cottonwood, Arizona. His current practice location is 1061 S State Route 260, Cottonwood, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 472-8000.

Lane Medina is licensed to practice in Arizona (license number D009043) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1326440041.

Contact Information

Lane Medina, DDS
1061 S State Route 260,
Cottonwood, AZ 86326-4624
(928) 472-8000
Not Available



Healthcare Provider's Profile

Full NameLane Medina
GenderMale
SpecialityDentist - General Practice
Location1061 S State Route 260, Cottonwood, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326440041
  • Provider Enumeration Date: 09/24/2014
  • Last Update Date: 09/24/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2466767223
  • Enrollment ID: I20150824000454

Medical Identifiers

Medical identifiers for Lane Medina such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326440041NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice D009043 (Arizona)Primary

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. Lane Medina 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 AddressPractice Location Address
Lane Medina, DDS
1061 S State Route 260,
Cottonwood, AZ 86326-4624

Ph: () -
Lane Medina, DDS
1061 S State Route 260,
Cottonwood, AZ 86326-4624

Ph: (928) 472-8000

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› Verified 2 days ago


Dentist in Cottonwood, AZ

Joe Dale Ditterline, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 667 E Mingus Ave, Cottonwood, AZ 86326
Phone: 928-634-7585    Fax: 928-634-7257
Dr. Jana L Long, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 350 S Willard St, Cottonwood, AZ 86326
Phone: 928-634-8292    Fax: 928-634-7931
David Herald, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 199 S Candy Ln, Suite 4-a, Cottonwood, AZ 86326
Phone: 928-634-8046    Fax: 928-649-0856
Alicia Christina King, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1660 S. State Route 260, Cottonwood, AZ 86326
Phone: 928-639-3333    Fax: 928-634-8491
Michael J Seip, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 1061 State Route 260, Cottonwood, AZ 86326
Phone: 928-478-8447    Fax: 928-474-8447
Dr. Mitzi M Wasden, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 10 N Alamos Dr, Cottonwood, AZ 86326
Phone: 928-634-6641    Fax: 928-496-2043
Dr. Theodore Joseph Jenal, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 517 S Main St, Cottonwood, AZ 86326
Phone: 928-634-8000    Fax: 928-639-0429

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