Jon Michael Lazaleta Duey, is a
Nurse Practitioner - Psychiatric/mental Health based in Berkeley, California. Jon Michael Lazaleta Duey is licensed to practice in California (license number 95001898) and his current practice location is
2105 Martin Luther King Jr Way Fl 1, Berkeley, California. He can be reached at his office (for appointments etc.) via phone at
(888) 588-8995.
NPI number for Jon Michael Lazaleta Duey is 1881858868 and his current mailing address is 2105 Martin Luther King Jr Way Fl 1, Berkeley, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881858868.
Healthcare Provider's Profile
Full Name | Jon Michael Lazaleta Duey |
---|
Gender | Male |
---|
Speciality | Nurse Practitioner - Psychiatric/mental Health |
---|
Location | 2105 Martin Luther King Jr Way Fl 1, Berkeley, California |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881858868
- Provider Enumeration Date: 07/18/2008
- Last Update Date: 04/17/2025
Medical Identifiers
Medical identifiers for Jon Michael Lazaleta Duey such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881858868 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
163W00000X | Registered Nurse | 658352-1 (New York) | Secondary |
163W00000X | Registered Nurse | 95035248 (California) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95001898 (California) | Primary |
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. Jon Michael Lazaleta Duey is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jon Michael Lazaleta Duey, 2105 Martin Luther King Jr Way Fl 1, Berkeley, CA 94704-1108 Ph: (888) 588-8995 | Jon Michael Lazaleta Duey, 2105 Martin Luther King Jr Way Fl 1, Berkeley, CA 94704-1108 Ph: (888) 588-8995 |
Reviews and Comments