Dr Jordan L Lastra, MD in Philadelphia, PA - Medicare Internal Medicine

Dr Jordan L Lastra, MD is a medicare enrolled "Internal Medicine" physician in Philadelphia, Pennsylvania. His current practice location is 3401 N Broad St, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (800) 836-7536.

Dr Jordan L Lastra is licensed to practice in Pennsylvania (license number MT222893) 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 1396314100.

Contact Information

	Dr Jordan L Lastra, MD
	3401 N Broad St, Philadelphia, PA 19140-5103
	(800) 836-7536
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jordan L Lastra
Gender	Male
Speciality	Internal Medicine
Location	3401 N Broad St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396314100
Provider Enumeration Date: 06/24/2021
Last Update Date: 06/24/2021

Medicare PECOS Information:

PECOS PAC ID: 7911309075
Enrollment ID: I20210712002667

Medical Identifiers

Medical identifiers for Dr Jordan L Lastra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396314100	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MT222893 (Pennsylvania)	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. Dr Jordan L Lastra 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 Jordan L Lastra, MD 1310 Irving St Unit 3, Philadelphia, PA 19107-6269 Ph: () -	Dr Jordan L Lastra, MD 3401 N Broad St, Philadelphia, PA 19140-5103 Ph: (800) 836-7536

Reviews and Comments

Internal Medicine Doctors in Philadelphia, PA

Philippe Olivier Szapary, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3400 Civic Center Blvd, East Pavilion, 2nd Floor, Philadelphia, PA 19104 Phone: 215-615-4949
Dr. Jamie L. Garfield, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-5864 Fax: 215-707-6867
Maria Esther Escorcia De Leon, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-1622 Fax: 215-707-0943
Cherag Daruwala, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2301 E Allegheny Ave, Suite 190b, Philadelphia, PA 19134 Phone: 215-926-3120 Fax: 215-926-3123
Dr. Robert Burke, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 51 N 39th St, Philadelphia, PA 19104 Phone: 215-662-9436 Fax: 215-243-3208
Eva Hassan Alsheik, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 219 N Broad St, 5th Floor, Philadelphia, PA 19107 Phone: 215-762-6071
Dr. Jason Thomas Ackrivo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-614-0871

Dr Jordan L Lastra, MD - Medicare Internal Medicine in Philadelphia, PA