Mrs Maryanne Ian Laxa, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Mecca, California. Her current practice location is
91275 66th St, Mecca, California. You can reach out to her office (for appointments etc.) via phone at
(760) 344-9951.
Mrs Maryanne Ian Laxa is licensed to practice in California (license number A76409) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184716458.
Physician's Profile
Full Name | Mrs Maryanne Ian Laxa |
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Gender | Female |
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Speciality | Pediatrics - Neonatal-perinatal Medicine |
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Location | 91275 66th St, Mecca, California |
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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: 1184716458
- Provider Enumeration Date: 09/28/2006
- Last Update Date: 01/25/2012
Medicare PECOS Information:
- PECOS PAC ID: 2264593102
- Enrollment ID: I20130608000148
Medical Identifiers
Medical identifiers for Mrs Maryanne Ian Laxa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184716458 | NPI | - | NPPES |
00A764090 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | A76409 (California) | 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. Mrs Maryanne Ian Laxa 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 |
Mrs Maryanne Ian Laxa, MD 91275 66th St, Mecca, CA 92254 Ph: () - | Mrs Maryanne Ian Laxa, MD 91275 66th St, Mecca, CA 92254 Ph: (760) 344-9951 |
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