Liza Marie Jastrow, LAC is a medicare enrolled "Physician Assistant" provider in Emeryville, California. Her current practice location is
2100 Powell St Ste 900, Emeryville, California. You can reach out to her office (for appointments etc.) via phone at
(510) 350-2600.
Liza Marie Jastrow is licensed to practice in California (license number PA22962) 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 1447314836.
Healthcare Provider's Profile
Full Name | Liza Marie Jastrow |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 2100 Powell St Ste 900, Emeryville, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1447314836
- Provider Enumeration Date: 12/20/2006
- Last Update Date: 10/03/2016
Medicare PECOS Information:
- PECOS PAC ID: 5193044238
- Enrollment ID: I20150512001048
Medical Identifiers
Medical identifiers for Liza Marie Jastrow such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447314836 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | AC 9633 (California) | Secondary |
363A00000X | Physician Assistant | 22962 (California) | Secondary |
363A00000X | Physician Assistant | PA22962 (California) | 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. Liza Marie Jastrow 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 |
Liza Marie Jastrow, LAC 2100 Powell St Ste 900, Emeryville, CA 94608-1844 Ph: (510) 350-2600 | Liza Marie Jastrow, LAC 2100 Powell St Ste 900, Emeryville, CA 94608-1844 Ph: (510) 350-2600 |
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