Lazarus Medical Corporation is a medicare enrolled primary clinic (General Practice) in Stonyford, California. The current practice location for Lazarus Medical Corporation is 4992 East Park Rd #159, Stonyford, California. For appointments, you can reach them via phone at
(916) 678-0351. The mailing address for Lazarus Medical Corporation is Po Box 159, Stonyford, California and phone number is (916) 678-0351.
Lazarus Medical Corporation is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1952987836. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(916) 678-0351.
Primary Care Clinic Profile
| Full Name | Lazarus Medical Corporation |
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| Speciality | General Practice |
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| Location | 4992 East Park Rd #159, Stonyford, California |
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| Authorized Official Name and Position | Jenny Lynn Lazarus (PRESIDENT) |
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| Authorized Official Contact | 9166780351 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Lazarus Medical Corporation
Po Box 159
Stonyford
CA 95979-0159
Ph: (916) 678-0351 | Lazarus Medical Corporation
4992 East Park Rd #159
Stonyford
CA 95979
Ph: (916) 678-0351 |
NPI Details:
| NPI Number | 1952987836 |
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| Provider Enumeration Date | 03/22/2021 |
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| Last Update Date | 03/22/2021 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 5698184679 |
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| Medicare Enrollment ID | O20210503002585 |
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Medical Identifiers
Medical identifiers for Lazarus Medical Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952987836 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Lazarus Medical Corporation acts as a billing entity for following providers:
| Provider Name | Jenny Lynn Lazarus |
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| Provider Type | Practitioner - General Practice |
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| Provider Identifiers | NPI Number: 1902167901
PECOS PAC ID: 8527480466
Enrollment ID: I20200622002006 |
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