Kelly Lane, PAA - Medicare Anesthesiologist Assistant in Atlanta, GA

Kelly Lane, PAA is a medicare enrolled "Anesthesiologist Assistant" in Atlanta, Georgia. Her current practice location is 5445 Meridian Mark Rd Ste 340, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 785-5650.

Kelly Lane is licensed to practice in Georgia (license number 3001) 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 1154376192.

Contact Information

Kelly Lane, PAA
5445 Meridian Mark Rd Ste 340,
Atlanta, GA 30342-4766
(404) 785-5650
(404) 785-5610



Provider's Profile

Full NameKelly Lane
GenderFemale
SpecialityAnesthesiologist Assistant
Location5445 Meridian Mark Rd Ste 340, Atlanta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154376192
  • Provider Enumeration Date: 05/24/2006
  • Last Update Date: 06/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8426028176
  • Enrollment ID: I20040915000248

Medical Identifiers

Medical identifiers for Kelly Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154376192NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant 3001 (Georgia)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. Kelly Lane allows following entities to bill medicare on her behalf.
Entity NameChildren's Anesthesia Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437203098
PECOS PAC ID: 5092105932
Enrollment ID: O20211208000072

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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. Kelly 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 AddressPractice Location Address
Kelly Lane, PAA
5445 Meridian Mark Rd Ste 340,
Atlanta, GA 30342-4766

Ph: (404) 785-5650
Kelly Lane, PAA
5445 Meridian Mark Rd Ste 340,
Atlanta, GA 30342-4766

Ph: (404) 785-5650

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Anesthesiologist Assistant Nurses in Atlanta, GA

Matthew Lewis, PAA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 1405 Clifton Rd Ne Fl 3, Atlanta, GA 30322
Phone: 404-785-6670    Fax: 404-785-1362
Elizabeth Ikeda,
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 1365 Clifton Rd Ne, Atlanta, GA 30322
Phone: 404-778-8311    
Amar R Herndon,
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342
Phone: 770-645-9181    
Shelley S Staton, PAAA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 1000 Johnson Ferry Rd, Atlanta, GA 30342
Phone: 770-645-9181    Fax: 770-645-8455
Mr. Grant Michael Mury, PAA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 550 Peachtree St Ne, Atlanta, GA 30308
Phone: 404-778-3900    
Ashley Schade, PAAA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342
Phone: 706-543-3449    
Jiaqi Tracy Li, PAA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 1001 Johnson Fy Rd Ne, Atlanta, GA 30342
Phone: 404-785-2008    Fax: 404-785-4496

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