David W Lazan, MD is a medicare enrolled "Urology" physician in Jonesboro, Georgia. He went to Washington University School Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Albany Urology Clinic and his current practice location is
2400 Mount Zion Pkwy, Jonesboro, Georgia. You can reach out to his office (for appointments etc.) via phone at
(404) 365-0966.
David W Lazan is licensed to practice in Georgia (license number 078072) 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 1871568303.
Physician's Profile
| Full Name | David W Lazan |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 40 Years |
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| Location | 2400 Mount Zion Pkwy, Jonesboro, Georgia |
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| Accepts Medicare Assignments | Yes. He 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:
- David W Lazan attended and graduated from Washington University School Of Medicine in 1984
NPI Data:
- NPI Number: 1871568303
- Provider Enumeration Date: 02/20/2006
- Last Update Date: 09/13/2018
Medicare PECOS Information:
- PECOS PAC ID: 5395770317
- Enrollment ID: I20181024002687
Medical Identifiers
Medical identifiers for David W Lazan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871568303 | NPI | - | NPPES |
| 064721700 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 208800000X (Florida) | Secondary |
| 208800000X | Urology | 078072 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Albany Urology Clinic | 2365423647 | 7 |
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. David W Lazan allows following entities to bill medicare on his behalf.
| Entity Name | The Southeast Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245266956
PECOS PAC ID: 6204829013
Enrollment ID: O20040407000370 |
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| Entity Name | Albany Urology Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043383623
PECOS PAC ID: 2365423647
Enrollment ID: O20040525000606 |
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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. David W Lazan 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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David W Lazan, MD
3495 Piedmont Rd Ne,
Atlanta, GA 30305-1717
Ph: (404) 364-7285 | David W Lazan, MD
2400 Mount Zion Pkwy,
Jonesboro, GA 30236-2500
Ph: (404) 365-0966 |
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