| Audrey J Lazenby, MD | |
|
Emile @ 42nd St, Omaha, NE 68198-0001 | |
| (402) 559-4186 | |
| (402) 559-6018 |
| Full Name | Audrey J Lazenby |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 43 Years |
| Location | Emile @ 42nd St, Omaha, Nebraska |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003843640 | NPI | - | NPPES |
| 051530857 | Other | AL | BLUE CROSS |
| 000025160 | Medicaid | AL | |
| 1595934 | Other | LA | EMERGENCY LA MEDICAID |
| 220015991 | Other | AL | RAILROAD MEDICARE |
| E36147 | Other | AL | VIVA |
| 000025160 | Other | AL | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0101X | Pathology - Anatomic Pathology | 18693 (Alabama) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 23983 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Nebraska Medical Center | Omaha, NE | Hospital |
| Bellevue Medical Center | Bellevue, NE | Hospital |
| Memorial Hospital | Aurora, NE | Hospital |
| Shenandoah Medical Center | Shenandoah, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Unmc Physicians | 6002728391 | 1389 |
| Entity Name | Unmc Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417912114 PECOS PAC ID: 6002728391 Enrollment ID: O20031104000664 |
| Entity Name | Father Flanagans Boys Home |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295821825 PECOS PAC ID: 9638165400 Enrollment ID: O20040426000622 |
| Mailing Address | Practice Location Address |
|---|---|
| Audrey J Lazenby, MD 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 Ph: () - | Audrey J Lazenby, MD Emile @ 42nd St, Omaha, NE 68198-0001 Ph: (402) 559-4186 |
Shane K. Kohl, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 8303 Dodge St, Omaha, NE 68114 Phone: 402-354-4540 Fax: 402-354-4535 | |
Stanley J Radio, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 988102 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-4186 Fax: 402-559-6018 | |
Christine Petricek Hans, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 8303 Dodge St, Omaha, NE 68114 Phone: 402-354-4540 Fax: 402-354-4535 | |
Dr. Diana L Nevins, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 8303 Dodge St, Omaha, NE 68114 Phone: 402-354-4540 Fax: 402-354-4535 | |
Dr. Marc R Hapke, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 909 N 96th St, Suite 201, Omaha, NE 68114 Phone: 402-330-4555 Fax: 402-934-0945 | |
Bryan Scott Teruya, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 4101 Woolworth Ave, Department Of Pathology, Omaha, NE 68105 Phone: 402-995-3218 |