| Bonnie A Lazor, MD | |
|
1110 Oakwood Ave, Oakwood, OH 45419 | |
| (419) 206-1249 | |
| (937) 567-0670 |
| Full Name | Bonnie A Lazor |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 1110 Oakwood Ave, Oakwood, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548214059 | NPI | - | NPPES |
| 000000479105 | Other | ANTHEM BCBS | |
| P00343016 | Other | RAILROAD MEDICARE | |
| 50011328 | Other | PASSPORT | |
| 743176351A | Other | HUMANA | |
| 2746336000 | Other | PASSPORT ADVANTAGE | |
| 64089535 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 38890 (Kentucky) | Primary |
| Entity Name | Vintage Care Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376598763 PECOS PAC ID: 7810900115 Enrollment ID: O20060802000387 |
| Mailing Address | Practice Location Address |
|---|---|
| Bonnie A Lazor, MD 1110 Oakwood Ave, Oakwood, OH 45419-2911 Ph: (419) 206-1249 | Bonnie A Lazor, MD 1110 Oakwood Ave, Oakwood, OH 45419 Ph: (419) 206-1249 |
Heidi Buckingham, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Sugar Camp Cir Ste 205, Oakwood, OH 45409 Phone: 937-395-3656 Fax: 937-395-3657 | |
Dr. John J Haluschak, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Sugar Camp Cir Ste 200, Oakwood, OH 45409 Phone: 937-276-8320 Fax: 937-276-8325 | |
Anne Colleen Schoen, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1110 Oakwood Ave, Oakwood, OH 45419 Phone: 937-885-7163 Fax: 937-567-0670 | |
Gina Theresa Atchison, P.A. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1110 Oakwood Ave, Oakwood, OH 45419 Phone: 937-885-7163 Fax: 937-567-0670 | |
Sana Jeffreys, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Sugar Camp Cir Ste 200, Oakwood, OH 45409 Phone: 937-276-8320 Fax: 937-276-8325 | |
Basel Yanes, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 Sugar Camp Cir Ste 200, Oakwood, OH 45409 Phone: 513-751-2273 Fax: 513-751-1840 |