Jonathan Lavian, MD is a medicare enrolled "Dermatology" physician in Tempe, Arizona. His current practice location is
2127 E Baseline Rd Ste 104, Tempe, Arizona. You can reach out to his office (for appointments etc.) via phone at
(804) 556-0446.
Jonathan Lavian is licensed to practice in Arizona (license number 66845) 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 1801327309.
Physician's Profile
Full Name | Jonathan Lavian |
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Gender | Male |
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Speciality | Dermatology |
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Location | 2127 E Baseline Rd Ste 104, Tempe, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1801327309
- Provider Enumeration Date: 03/26/2017
- Last Update Date: 10/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 2062894967
- Enrollment ID: I20220808003501
Medical Identifiers
Medical identifiers for Jonathan Lavian such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801327309 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ND0101X | Dermatology - Mohs-micrographic Surgery | 66845 (Arizona) | Secondary |
208D00000X | General Practice | 295510 (New York) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
207N00000X | Dermatology | 66845 (Arizona) | 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. Jonathan Lavian allows following entities to bill medicare on his behalf.
Entity Name | Richard Lee Averitte Jr Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407804115 PECOS PAC ID: 9638069099 Enrollment ID: O20040318000802 |
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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. Jonathan Lavian 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 |
Jonathan Lavian, MD 150 E 84th St, New York, NY 10028-2031 Ph: (510) 969-9049 | Jonathan Lavian, MD 2127 E Baseline Rd Ste 104, Tempe, AZ 85283-1537 Ph: (804) 556-0446 |
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