Dr Jonathan I Lazzara, DO | |
4449 State Route 159, Chillicoth, OH 45601-8620 | |
(740) 775-1260 | |
(740) 773-1264 |
Full Name | Dr Jonathan I Lazzara |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 13 Years |
Location | 4449 State Route 159, Chillicoth, Ohio |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144580085 | NPI | - | NPPES |
0116608 | Medicaid | OH |
Facility Name | Location | Facility Type |
---|---|---|
Atrium Medical Center | Franklin, OH | Hospital |
Adena Regional Medical Center | Chillicothe, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Health Physicians Springfield Specialty Care Llc | 4284059981 | 90 |
Premier Health Specialists Inc | 5597708594 | 390 |
Entity Name | Premier Health Specialists Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194958223 PECOS PAC ID: 5597708594 Enrollment ID: O20050610000010 |
Entity Name | Adena Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235468083 PECOS PAC ID: 1153456579 Enrollment ID: O20100323001007 |
Entity Name | Mercy Health Physicians Springfield Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790308104 PECOS PAC ID: 4284059981 Enrollment ID: O20200728003692 |
Entity Name | Mercy Health Physicians Lima Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518589803 PECOS PAC ID: 7012332364 Enrollment ID: O20200803002433 |
Entity Name | Mercy Health Physicians Cincinnati Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154942795 PECOS PAC ID: 3971907759 Enrollment ID: O20210802003370 |
Entity Name | Mercy Health Physicians North Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306468418 PECOS PAC ID: 1951707884 Enrollment ID: O20210901001534 |
Entity Name | Mercy Health Physicians Lorain Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972126381 PECOS PAC ID: 4688070055 Enrollment ID: O20210909003432 |
Entity Name | Mercy Health Physicians Youngstown Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649892225 PECOS PAC ID: 3476950296 Enrollment ID: O20210921003835 |
Mailing Address | Practice Location Address |
---|---|
Dr Jonathan I Lazzara, DO 200 Medical Center Dr, Middletown, OH 45005-5200 Ph: (513) 974-5252 | Dr Jonathan I Lazzara, DO 4449 State Route 159, Chillicoth, OH 45601-8620 Ph: (740) 775-1260 |