Bryan Keoke Lazaro, PMHNP - Medicare Nurse Practitioner in Phoenix, AZ

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Bryan Keoke Lazaro, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Phoenix, Arizona. His current practice location is 3031 W Northern Ave Ste 109, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 888-3474.

Bryan Keoke Lazaro is licensed to practice in Arizona (license number AP9561) 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 1912458845.

Contact Information

Bryan Keoke Lazaro, PMHNP
3031 W Northern Ave Ste 109,
Phoenix, AZ 85051-6695
(602) 888-3474
Not Available

Map and Direction




Provider's Profile

Full NameBryan Keoke Lazaro
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location3031 W Northern Ave Ste 109, Phoenix, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912458845
  • Provider Enumeration Date: 10/14/2016
  • Last Update Date: 05/12/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4880976521
  • Enrollment ID: I20170112003390

Medical Identifiers

Medical identifiers for Bryan Keoke Lazaro such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912458845NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health TAP9561 (Arizona)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP9561 (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. Bryan Keoke Lazaro allows following entities to bill medicare on his behalf.
Entity NameWest Yavapai Guidance Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952550071
PECOS PAC ID: 3375524358
Enrollment ID: O20040526000422
Entity NameStrategic Mental Health, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861770950
PECOS PAC ID: 9234306739
Enrollment ID: O20120124000989
Entity NameHealth Group Providers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932560729
PECOS PAC ID: 9335430693
Enrollment ID: O20160617000240
Entity NameCerebro Wellness Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629689922
PECOS PAC ID: 4385018837
Enrollment ID: O20230323001557

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. Bryan Keoke Lazaro 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 AddressPractice Location Address
Bryan Keoke Lazaro, PMHNP
5223 1/2 S 5th St,
Phoenix, AZ 85040-8707

Ph: (602) 888-3474		Bryan Keoke Lazaro, PMHNP
3031 W Northern Ave Ste 109,
Phoenix, AZ 85051-6695

Ph: (602) 888-3474

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.