Dr Alicia M Lanzito, DPM, SA-C is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Delavan, Wisconsin. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Podiatry. She is a member of the group practice Aurora Medical Group, Inc. and her current practice location is
1550 Hobbs Dr, Delavan, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 740-4200.
Dr Alicia M Lanzito is licensed to practice in Wisconsin (license number 1040) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811137102.
Healthcare Provider's Profile
| Full Name | Dr Alicia M Lanzito |
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| Gender | Female |
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| Speciality | Podiatry |
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| Experience | 17 Years |
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| Location | 1550 Hobbs Dr, Delavan, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Alicia M Lanzito graduated from medical school in 2007
NPI Data:
- NPI Number: 1811137102
- Provider Enumeration Date: 02/25/2009
- Last Update Date: 07/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 0749473411
- Enrollment ID: I20140219001424
Medical Identifiers
Medical identifiers for Dr Alicia M Lanzito such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811137102 | NPI | - | NPPES |
| 100035381 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 016.005394 (Illinois) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 1040 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Aurora Medical Group, Inc. | 6709794258 | 3269 |
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. Dr Alicia M Lanzito allows following entities to bill medicare on her behalf.
| Provider Name | Aurora Medical Group, Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725 |
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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. Dr Alicia M Lanzito 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 |
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Dr Alicia M Lanzito, DPM, SA-C
1550 Hobbs Dr,
Delavan, WI 53115-2027
Ph: (262) 740-4200 | Dr Alicia M Lanzito, DPM, SA-C
1550 Hobbs Dr,
Delavan, WI 53115
Ph: (262) 740-4200 |
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