David W Lazan, MD - Medicare Internal Medicine in Jonesboro, GA

David W Lazan, MD is a medicare enrolled "Urology" physician in Jonesboro, Georgia. He went to Washington University School Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Albany Urology Clinic and his current practice location is 2400 Mount Zion Pkwy, Jonesboro, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 365-0966.

David W Lazan is licensed to practice in Georgia (license number 078072) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1871568303.

Contact Information

David W Lazan, MD
2400 Mount Zion Pkwy,
Jonesboro, GA 30236-2500
(404) 365-0966
Not Available



Physician's Profile

Full NameDavid W Lazan
GenderMale
SpecialityInternal Medicine
Experience40 Years
Location2400 Mount Zion Pkwy, Jonesboro, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • David W Lazan attended and graduated from Washington University School Of Medicine in 1984
  NPI Data:
  • NPI Number: 1871568303
  • Provider Enumeration Date: 02/20/2006
  • Last Update Date: 09/13/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5395770317
  • Enrollment ID: I20181024002687

Medical Identifiers

Medical identifiers for David W Lazan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871568303NPI-NPPES
064721700MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 208800000X (Florida)Secondary
208800000XUrology 078072 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Albany Urology Clinic23654236476

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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. David W Lazan allows following entities to bill medicare on his behalf.
Entity NameThe Southeast Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245266956
PECOS PAC ID: 6204829013
Enrollment ID: O20040407000370

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Entity NameAlbany Urology Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043383623
PECOS PAC ID: 2365423647
Enrollment ID: O20040525000606

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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. David W Lazan 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 AddressPractice Location Address
David W Lazan, MD
3495 Piedmont Rd Ne,
Atlanta, GA 30305-1717

Ph: (404) 364-7285
David W Lazan, MD
2400 Mount Zion Pkwy,
Jonesboro, GA 30236-2500

Ph: (404) 365-0966

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Urology Doctors in Jonesboro, GA

Dr. Chinonyerem Uzoamaka Okoro, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 2400 Mount Zion Pkwy, Jonesboro, GA 30236
Phone: 770-603-3562    Fax: 770-603-3819

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