Jacob S Lane, DO in Charleston, SC - Medicare Internal Medicine

Jacob S Lane, DO is a medicare enrolled "Internal Medicine - Nephrology" physician in Charleston, South Carolina. His current practice location is 169 Ashley Ave Rm 202, Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 792-3298.

Jacob S Lane is licensed to practice in South Carolina (license number 89713) 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 1558999383.

Contact Information

	Jacob S Lane, DO
	169 Ashley Ave Rm 202, Charleston, SC 29425-7538
	(843) 792-3298
	Not Available

Physician's Profile

Full Name	Jacob S Lane
Gender	Male
Speciality	Internal Medicine - Nephrology
Location	169 Ashley Ave Rm 202, Charleston, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558999383
Provider Enumeration Date: 03/28/2020
Last Update Date: 05/31/2023

Medicare PECOS Information:

PECOS PAC ID: 4082045976
Enrollment ID: I20240222002372

Medical Identifiers

Medical identifiers for Jacob S Lane such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558999383	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	89713 (South Carolina)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Jacob S 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
Jacob S Lane, DO 169 Ashley Ave Rm 202, Charleston, SC 29425-7538 Ph: (843) 792-3298	Jacob S Lane, DO 169 Ashley Ave Rm 202, Charleston, SC 29425-7538 Ph: (843) 792-3298

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Internal Medicine Doctors in Charleston, SC

Dr. Jeffrey Peter Yourshaw, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 169 Ashley Ave, Room 202 Main Hospital Msc 333, Charleston, SC 29425 Phone: 843-876-4807 Fax: 843-876-4809
Jennifer Lee Martin, D.O. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Nikko Rowe Asuncion Tabliago, MD Nephrology Medicare: Medicare Enrolled Practice Location: 169 Ashley Ave Rm 202, Charleston, SC 29425 Phone: 843-792-2575
Moses K Asempah, MD Nephrology Medicare: Medicare Enrolled Practice Location: 169 Ashley Avenue, Room 202 Main Hospital Msc333, Charleston, SC 29425 Phone: 717-491-3745
Paige Nicole Laverick, PA-C Nephrology Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Amit Agrawal, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Yevgeniy Gelfand, MD Nephrology Medicare: Medicare Enrolled Practice Location: 67 President St, Charleston, SC 29425 Phone: 843-792-0111

Jacob S Lane, DO - Medicare Internal Medicine in Charleston, SC