Lazare Shadzeka, in Largo, MD - Medicare Nurse Practitioner

Lazare Shadzeka, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Largo, Maryland. His current practice location is 10530 Campus Way S # 1068, Largo, Maryland. You can reach out to his office (for appointments etc.) via phone at (240) 305-5298.

Lazare Shadzeka is licensed to practice in District Of Columbia (license number RN1033678) 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 1760015010.

Contact Information

	Lazare Shadzeka,
	10530 Campus Way S # 1068, Largo, MD 20774-1309
	(240) 305-5298
	(202) 953-6719

Map and Direction

Provider's Profile

Full Name	Lazare Shadzeka
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	10530 Campus Way S # 1068, Largo, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760015010
Provider Enumeration Date: 02/14/2020
Last Update Date: 09/09/2024

Medicare PECOS Information:

PECOS PAC ID: 4789094822
Enrollment ID: I20201102000412

Medical Identifiers

Medical identifiers for Lazare Shadzeka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760015010	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN1033678 (District Of Columbia)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R207679 (Maryland)	Secondary

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. Lazare Shadzeka allows following entities to bill medicare on his behalf.

Entity Name	Thrive Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20180531001919

Entity Name	Beatus Healthcare Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144944141 PECOS PAC ID: 5698146702 Enrollment ID: O20230128000360

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. Lazare Shadzeka 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
Lazare Shadzeka, 49b Joyceton Ter, Upper Marlboro, MD 20774-1341 Ph: (202) 285-2882	Lazare Shadzeka, 10530 Campus Way S # 1068, Largo, MD 20774-1309 Ph: (240) 305-5298

Reviews and Comments

Nurse Practitioner Nurses in Largo, MD

Mr. Raymond Aseh Ofe, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Mercantile Ln Ste 200, Largo, MD 20774 Phone: 240-350-8841
Okechukwu Matthew Ofodile, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 901 Harry S Truman Dr N, Largo, MD 20774 Phone: 240-677-2700
Ms. Valerie May Stevens, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1221 Mercantile Lane, Largo, MD 20774 Phone: 301-618-5578 Fax: 301-618-5673
Ms. Frances Justine Caffie-wright, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1701 Mccormick Dr, Prince George's County Health Department, Largo, MD 20774 Phone: 301-883-7887 Fax: 301-883-7896
Jocelynn N Casselle, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 901 Harry S Truman Dr N, Largo, MD 20774 Phone: 240-677-2420
Ms. Brownhilda E Tanyi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1221 Mercantile Ln, Largo, MD 20774 Phone: 301-618-5500 Fax: 301-618-5000
Mrs. Kumutha Flawrence Daniel, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 Mercantile Ln Ste 200h, Largo, MD 20774 Phone: 301-957-5451 Fax: 301-281-4002

Lazare Shadzeka, - Medicare Nurse Practitioner in Largo, MD