Dr Lane Clayton Thaut, DO - Medicare Emergency Medicine in Travis Afb, CA

Dr Lane Clayton Thaut, DO is a medicare enrolled "Emergency Medicine" physician in Travis Afb, California. He went to Rocky Vista University College Of Osteopathic Med and graduated in 2016 and has 8 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Rp Medical Llc, Mayo Clinic Health System-franciscan Medical Center Inc and his current practice location is 101 Bodin Cir, Travis Afb, California. You can reach out to his office (for appointments etc.) via phone at (708) 423-3000.

Dr Lane Clayton Thaut is licensed to practice in California (license number 17163) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174984058.

Contact Information

Dr Lane Clayton Thaut, DO
101 Bodin Cir,
Travis Afb, CA 94535-1809
(708) 423-3000
Not Available



Physician's Profile

Full NameDr Lane Clayton Thaut
GenderMale
SpecialityEmergency Medicine
Experience8 Years
Location101 Bodin Cir, Travis Afb, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Lane Clayton Thaut attended and graduated from Rocky Vista University College Of Osteopathic Med in 2016
  NPI Data:
  • NPI Number: 1174984058
  • Provider Enumeration Date: 03/18/2016
  • Last Update Date: 08/15/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2567792005
  • Enrollment ID: I20201019001798

Medical Identifiers

Medical identifiers for Dr Lane Clayton Thaut such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174984058NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine R4911 (Texas)Secondary
207P00000XEmergency Medicine DOS-1915 (Hawaii)Secondary
207P00000XEmergency Medicine 17163 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rp Medical Llc377987748517
Mayo Clinic Health System-franciscan Medical Center Inc0345152443419

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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. Dr Lane Clayton Thaut allows following entities to bill medicare on his behalf.
Entity NameHawaii Emergency Physicians Associated Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801843198
PECOS PAC ID: 2860390283
Enrollment ID: O20040127001137

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Entity NameRp Medical Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982094652
PECOS PAC ID: 3779877485
Enrollment ID: O20160803001405

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Entity NameWh Il Medical Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518603695
PECOS PAC ID: 4486060167
Enrollment ID: O20230707002619

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Entity NameWh Ar Medical Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235861147
PECOS PAC ID: 5799195376
Enrollment ID: O20240228002939

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Entity NameWh Nj Medical Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033853973
PECOS PAC ID: 8628432325
Enrollment ID: O20240229002247

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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. Dr Lane Clayton Thaut 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
Dr Lane Clayton Thaut, DO
101 Bodin Cir,
Travis Afb, CA 94535-1809

Ph: () -
Dr Lane Clayton Thaut, DO
101 Bodin Cir,
Travis Afb, CA 94535-1809

Ph: (708) 423-3000

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Emergency Medicine Doctors in Travis Afb, CA

Dr. Andrew James Amack, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-3825    
Douglas Alfar, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-3825    
Dr. Jacob Andrew Binder, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-3826    
Alexa Marie Gingras, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-3825    
Roderick W Fontenette, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 Bodin Cir, Central Credentialing, Travis Afb, CA 94535
Phone: 707-423-3000    
Carol Knight, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 954-682-3481    
Dr. Nurani Michael Kester, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-3826    Fax: 707-423-7204

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