Caleb I Martinez Lazo, CAA in Fayetteville, GA - Medicare Anesthesiologist Assistant

Caleb I Martinez Lazo, CAA is a medicare enrolled "Anesthesiologist Assistant" in Fayetteville, Georgia. His current practice location is 1255 Highway 54 W, Fayetteville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 719-7000.

Caleb I Martinez Lazo is licensed to practice in Georgia (license number 11208) 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 1639809353.

Contact Information

	Caleb I Martinez Lazo, CAA
	1255 Highway 54 W, Fayetteville, GA 30214-4526
	(770) 719-7000
	Not Available

Map and Direction

Provider's Profile

Full Name	Caleb I Martinez Lazo
Gender	Male
Speciality	Anesthesiologist Assistant
Location	1255 Highway 54 W, Fayetteville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639809353
Provider Enumeration Date: 06/15/2022
Last Update Date: 10/18/2022

Medicare PECOS Information:

PECOS PAC ID: 7719353226
Enrollment ID: I20221024001905

Medical Identifiers

Medical identifiers for Caleb I Martinez Lazo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639809353	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367H00000X	Anesthesiologist Assistant	(Georgia)	Secondary
367H00000X	Anesthesiologist Assistant	(* (Not Available))	Secondary
367H00000X	Anesthesiologist Assistant	11208 (Georgia)	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. Caleb I Martinez Lazo allows following entities to bill medicare on his behalf.

Entity Name	Piedmont Anesthesia Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407856594 PECOS PAC ID: 3577457183 Enrollment ID: O20040212000604

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. Caleb I Martinez Lazo 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
Caleb I Martinez Lazo, CAA 718 Nightwind Way, Stockbridge, GA 30281-9134 Ph: (678) 978-0169	Caleb I Martinez Lazo, CAA 1255 Highway 54 W, Fayetteville, GA 30214-4526 Ph: (770) 719-7000

Reviews and Comments

Anesthesiologist Assistant Nurses in Fayetteville, GA

Danielle Duncan, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 770-719-7000
Callie Kennedy, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 770-719-7000
Mr. Hugh Duggan, MS IN ANESTHESIA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 770-719-7000
David P Wright, PA-AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 404-351-1745 Fax: 404-351-7121
Joshua Gordon, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1255 Ga-54, Fayetteville, GA 30214 Phone: 770-719-7000
Mr. Brett Joseph Kieffer, AA-S Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 770-719-7000
Mrs. Maria Magdalena Earnhart, Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 770-719-7000

Caleb I Martinez Lazo, CAA - Medicare Anesthesiologist Assistant in Fayetteville, GA