Caleb I Martinez Lazo, CAA - Medicare Anesthesiologist Assistant in Fayetteville, GA

Caleb I Martinez Lazo, CAA is a medicare enrolled "Anesthesiologist Assistant" in Fayetteville, Georgia. His current practice location is 1255 Highway 54 W, Fayetteville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 719-7000.

Caleb I Martinez Lazo is licensed to practice in Georgia (license number 11208) 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 1639809353.

Contact Information

Caleb I Martinez Lazo, CAA
1255 Highway 54 W,
Fayetteville, GA 30214-4526
(770) 719-7000
Not Available



Provider's Profile

Full NameCaleb I Martinez Lazo
GenderMale
SpecialityAnesthesiologist Assistant
Location1255 Highway 54 W, Fayetteville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639809353
  • Provider Enumeration Date: 06/15/2022
  • Last Update Date: 10/18/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7719353226
  • Enrollment ID: I20221024001905

Medical Identifiers

Medical identifiers for Caleb I Martinez Lazo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639809353NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant (Georgia)Secondary
367H00000XAnesthesiologist Assistant (* (Not Available))Secondary
367H00000XAnesthesiologist Assistant 11208 (Georgia)Primary

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. Caleb I Martinez Lazo allows following entities to bill medicare on his behalf.
Entity NamePiedmont Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407856594
PECOS PAC ID: 3577457183
Enrollment ID: O20040212000604

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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. Caleb I Martinez Lazo 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
Caleb I Martinez Lazo, CAA
718 Nightwind Way,
Stockbridge, GA 30281-9134

Ph: (678) 978-0169
Caleb I Martinez Lazo, CAA
1255 Highway 54 W,
Fayetteville, GA 30214-4526

Ph: (770) 719-7000

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Anesthesiologist Assistant Nurses in Fayetteville, GA

Danielle Duncan,
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214
Phone: 770-719-7000    
Callie Kennedy,
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214
Phone: 770-719-7000    
Mr. Hugh Duggan, MS IN ANESTHESIA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214
Phone: 770-719-7000    
David P Wright, PA-AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214
Phone: 404-351-1745    Fax: 404-351-7121
Joshua Gordon,
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1255 Ga-54, Fayetteville, GA 30214
Phone: 770-719-7000    
Mr. Brett Joseph Kieffer, AA-S
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214
Phone: 770-719-7000    
Mrs. Maria Magdalena Earnhart,
Anesthesiologist Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214
Phone: 770-719-7000    

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