Mr Jerry Wayne Lazerus, is a
Nurse Anesthetist, Certified Registered based in Malvern, Arkansas. Mr Jerry Wayne Lazerus is licensed to practice in Arkansas (license number C00450) and his current practice location is
13291 Highway 67, Malvern, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(501) 467-8061.
NPI number for Mr Jerry Wayne Lazerus is 1881754422 and his current mailing address is 13291 Highway 67, Malvern, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881754422.
Provider's Profile
Full Name | Mr Jerry Wayne Lazerus |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 13291 Highway 67, Malvern, Arkansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881754422
- Provider Enumeration Date: 12/12/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Mr Jerry Wayne Lazerus such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881754422 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | R28178 (Arkansas) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | C00450 (Arkansas) | 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. Mr Jerry Wayne Lazerus is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Jerry Wayne Lazerus, 13291 Highway 67, Malvern, AR 72104-7431 Ph: (501) 467-8061 | Mr Jerry Wayne Lazerus, 13291 Highway 67, Malvern, AR 72104-7431 Ph: (501) 467-8061 |
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