Autumn Lazaro, PA-C is a medicare enrolled "Physician Assistant" physician in Wilmington, North Carolina. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Coastal Internal Medicine, P.a. and her current practice location is
2032 S 17th St Ste 101, Wilmington, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 763-3738.
Autumn Lazaro is licensed to practice in North Carolina (license number 0010-12035) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1588223754.
Physician's Profile
| Full Name | Autumn Lazaro |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 5 Years |
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| Location | 2032 S 17th St Ste 101, Wilmington, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Autumn Lazaro graduated from medical school in 2019
NPI Data:
- NPI Number: 1588223754
- Provider Enumeration Date: 06/11/2019
- Last Update Date: 04/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 1658607593
- Enrollment ID: I20220510002730
Medical Identifiers
Medical identifiers for Autumn Lazaro such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588223754 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207QA0505X | Family Medicine - Adult Medicine | 7182 (Massachusetts) | Secondary |
| 363A00000X | Physician Assistant | 4474 (Connecticut) | Secondary |
| 363A00000X | Physician Assistant | 0010-12035 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Coastal Internal Medicine, P.a. | 9133181886 | 5 |
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. Autumn Lazaro 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 |
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Autumn Lazaro, PA-C
2032 S 17th St Ste 101,
Wilmington, NC 28401-6678
Ph: (910) 763-3738 | Autumn Lazaro, PA-C
2032 S 17th St Ste 101,
Wilmington, NC 28401-6678
Ph: (910) 763-3738 |
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