Dr John William Lax, MD is a medicare enrolled "Family Medicine" physician in D-m Afb, Arizona. His current practice location is
4175 S Alamo Avenue, D-m Afb, Arizona. You can reach out to his office (for appointments etc.) via phone at
(520) 228-2552.
Dr John William Lax is licensed to practice in Virginia (license number 0116024763) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063774388.
Physician's Profile
Full Name | Dr John William Lax |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 4175 S Alamo Avenue, D-m Afb, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063774388
- Provider Enumeration Date: 06/12/2012
- Last Update Date: 02/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 2365675691
- Enrollment ID: I20140512001084
Medical Identifiers
Medical identifiers for Dr John William Lax such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063774388 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 0116024763 (Virginia) | 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. Dr John William Lax 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 |
Dr John William Lax, MD 9300 Dewitt Loop, Fbch Family Medicine Clinic, Fort Belvoir, VA 22060-5285 Ph: (571) 231-2360 | Dr John William Lax, MD 4175 S Alamo Avenue, D-m Afb, AZ 85707-4406 Ph: (520) 228-2552 |
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