Dr Jake Lazaroff, MD in Chicago, IL

Dr Jake Lazaroff, MD is a medicare enrolled "Dermatology" physician in Chicago, Illinois. His current practice location is 5841 S Maryland Ave # Mc5067, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 702-0549.

Dr Jake Lazaroff is licensed to practice in Missouri (license number 2024012056) 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 1740654110.

Contact Information

	Dr Jake Lazaroff, MD
	5841 S Maryland Ave # Mc5067, Chicago, IL 60637-1443
	(773) 702-0549
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jake Lazaroff
Gender	Male
Speciality	Dermatology
Location	5841 S Maryland Ave # Mc5067, Chicago, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740654110
Provider Enumeration Date: 11/21/2015
Last Update Date: 07/26/2024

Medicare PECOS Information:

PECOS PAC ID: 2264767300
Enrollment ID: I20240520002804

Medical Identifiers

Medical identifiers for Dr Jake Lazaroff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740654110	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ND0101X	Dermatology - Mohs-micrographic Surgery	2024012056 (Missouri)	Secondary
207R00000X	Internal Medicine	125074787 (Illinois)	Secondary
207N00000X	Dermatology	125074787 (Illinois)	Secondary
207N00000X	Dermatology	2024012056 (Missouri)	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. Dr Jake Lazaroff allows following entities to bill medicare on his behalf.

Entity Name	Meramec Dermatology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902378250 PECOS PAC ID: 4082941604 Enrollment ID: O20190806000111

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. Dr Jake Lazaroff 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
Dr Jake Lazaroff, MD Po Box 953593, Saint Louis, MO 63195-3593 Ph: (847) 570-4789	Dr Jake Lazaroff, MD 5841 S Maryland Ave # Mc5067, Chicago, IL 60637-1443 Ph: (773) 702-0549

Reviews and Comments

Dermatology Doctors in Chicago, IL

Edward B Li, MD, PHD Dermatology Medicare: Medicare Enrolled Practice Location: 676 N Saint Clair St Ste 1600, Chicago, IL 60611 Phone: 312-695-8106
Joaquin Carlos Brieva, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 676 N Saint Clair St, Suite 1600, Chicago, IL 60611 Phone: 312-695-8106 Fax: 312-695-0537
Dr. Kevin Scott Pinski, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 150 N Michigan Ave Ste 1200, Chicago, IL 60601 Phone: 312-263-4625 Fax: 312-263-5029
Dr. James A Ida Jr., MD Dermatology Medicare: Medicare Enrolled Practice Location: 1663 W Carmen Ave, Chicago, IL 60640 Phone: 773-293-7500
Erin M Ibler, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 2148 N Damen Ave, Chicago, IL 60647 Phone: 773-938-8128 Fax: 773-938-8126
Dr. Stephen L Carter, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2148 N Damen Ave, Chicago, IL 60647 Phone: 773-938-8128 Fax: 773-938-8126
Dr. Todd Andrew Johnson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1765 N Elston Ave, Suite 110, Chicago, IL 60642 Phone: 773-276-1100 Fax: 773-276-1102

Dr Jake Lazaroff, MD - Medicare Dermatology in Chicago, IL