Dr Peter Lawrence Lavalle, MD in San Leandro, CA - Medicare Psychiatry & Neurology

Dr Peter Lawrence Lavalle, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in San Leandro, California. His current practice location is 2045 Fairmont Dr, San Leandro, California. You can reach out to his office (for appointments etc.) via phone at (510) 667-7508.

Dr Peter Lawrence Lavalle is licensed to practice in California (license number G17435) 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 1114907995.

Contact Information

	Dr Peter Lawrence Lavalle, MD
	2045 Fairmont Dr, San Leandro, CA 94578-1088
	(510) 667-7508
	(510) 667-7522

Map and Direction

Physician's Profile

Full Name	Dr Peter Lawrence Lavalle
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	2045 Fairmont Dr, San Leandro, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114907995
Provider Enumeration Date: 01/18/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3375649494
Enrollment ID: I20070507000621

Medical Identifiers

Medical identifiers for Dr Peter Lawrence Lavalle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114907995	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	G17435 (California)	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 Peter Lawrence Lavalle allows following entities to bill medicare on his behalf.

Entity Name	Department Of State Hospitals
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305

Entity Name	Lags Recovery Centers, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033665526 PECOS PAC ID: 2365844206 Enrollment ID: O20220707001799

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 Peter Lawrence Lavalle 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 Peter Lawrence Lavalle, MD 2045 Fairmont Dr, San Leandro, CA 94578-1088 Ph: (510) 667-7508	Dr Peter Lawrence Lavalle, MD 2045 Fairmont Dr, San Leandro, CA 94578-1088 Ph: (510) 667-7508

Reviews and Comments

Psychiatry & Neurology Doctors in San Leandro, CA

Dr. Joshua Niclas, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2060 Fairmont Dr, San Leandro, CA 94578 Phone: 510-346-1365 Fax: 510-346-7515
Rupinder Kaur, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2060 Fairmont Dr, San Leandro, CA 94578 Phone: 510-346-1300
Dr. Lorna Bland, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2045 Fairmont Dr, San Leandro, CA 94578 Phone: 251-363-1833 Fax: 866-425-3077
Dina Frid, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2050 Fairmont Dr, San Leandro, CA 94578 Phone: 510-410-4646
Sonia Raheja, M.D Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2060 Fairmont Dr, San Leandro, CA 94578 Phone: 917-743-9444
Dr. John William Fenton, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2060 Fairmont Dr, John George Hospital Unit B, San Leandro, CA 94578 Phone: 510-346-1446

Dr Peter Lawrence Lavalle, MD - Medicare Psychiatry & Neurology in San Leandro, CA