Liza Marie Jastrow, LAC is a medicare enrolled "Physician Assistant" provider in Emeryville, California. She graduated from medical school in 2013 and has 13 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Permanente Medical Group Inc and her current practice location is
2100 Powell St Ste 900, Emeryville, California. You can reach out to her office (for appointments etc.) via phone at
(510) 350-2600.
Liza Marie Jastrow is licensed to practice in California (license number PA22962) 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 1447314836.
Healthcare Provider's Profile
| Full Name | Liza Marie Jastrow |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 13 Years |
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| Location | 2100 Powell St Ste 900, Emeryville, California |
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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:
- Liza Marie Jastrow graduated from medical school in 2013
NPI Data:
- NPI Number: 1447314836
- Provider Enumeration Date: 12/20/2006
- Last Update Date: 10/03/2016
Medicare PECOS Information:
- PECOS PAC ID: 5193044238
- Enrollment ID: I20150512001048
Medical Identifiers
Medical identifiers for Liza Marie Jastrow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1447314836 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 171100000X | Acupuncturist | AC 9633 (California) | Secondary |
| 363A00000X | Physician Assistant | 22962 (California) | Secondary |
| 363A00000X | Physician Assistant | PA22962 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Permanente Medical Group Inc | 8921910225 | 8867 |
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. Liza Marie Jastrow 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 |
|---|
Liza Marie Jastrow, LAC
2100 Powell St Ste 900,
Emeryville, CA 94608-1844
Ph: (510) 350-2600 | Liza Marie Jastrow, LAC
2100 Powell St Ste 900,
Emeryville, CA 94608-1844
Ph: (510) 350-2600 |
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