Dr Danielle Raffaella Lazzara, DO is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Jasper, Georgia. She went to Rowan University School Of Osteopathic Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Georgia Mountain Dermatology, Llc and her current practice location is
150 Interstate South Dr Ste 100, Jasper, Georgia. You can reach out to her office (for appointments etc.) via phone at
(067) 253-3376.
Dr Danielle Raffaella Lazzara is licensed to practice in Georgia (license number 87864) 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 1912351347.
Physician's Profile
| Full Name | Dr Danielle Raffaella Lazzara |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 8 Years |
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| Location | 150 Interstate South Dr Ste 100, Jasper, Georgia |
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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:
- Dr Danielle Raffaella Lazzara attended and graduated from Rowan University School Of Osteopathic Medicine in 2016
NPI Data:
- NPI Number: 1912351347
- Provider Enumeration Date: 04/21/2016
- Last Update Date: 12/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 8426472184
- Enrollment ID: I20210610001096
Medical Identifiers
Medical identifiers for Dr Danielle Raffaella Lazzara such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912351347 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 87864 (Georgia) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 87864 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Georgia Mountain Dermatology, Llc | 6901980259 | 5 |
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. Dr Danielle Raffaella Lazzara allows following entities to bill medicare on her behalf.
| Entity Name | Georgia Mountain Dermatology, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043400088
PECOS PAC ID: 6901980259
Enrollment ID: O20080225000683 |
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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. Dr Danielle Raffaella Lazzara 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 |
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Dr Danielle Raffaella Lazzara, DO
150 Interstate South Dr Ste 100,
Jasper, GA 30143-6252
Ph: (706) 253-3376 | Dr Danielle Raffaella Lazzara, DO
150 Interstate South Dr Ste 100,
Jasper, GA 30143-6252
Ph: (067) 253-3376 |
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