Dr Lucia Zdrazilova, MD is a medicare enrolled "Anesthesiology" physician in Beaver Dam, Wisconsin. Her current practice location is
707 S University Ave, Beaver Dam, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 887-5975.
Dr Lucia Zdrazilova is licensed to practice in Wisconsin (license number 61395) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043449358.
Physician's Profile
| Full Name | Dr Lucia Zdrazilova |
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| Gender | Female |
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| Speciality | Anesthesiology |
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| Location | 707 S University Ave, Beaver Dam, Wisconsin |
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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: 1043449358
- Provider Enumeration Date: 07/08/2009
- Last Update Date: 04/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 5193952802
- Enrollment ID: I20131227001864
Medical Identifiers
Medical identifiers for Dr Lucia Zdrazilova such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1043449358 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | 125057186 (Illinois) | Secondary |
| 207L00000X | Anesthesiology | 61395 (Wisconsin) | Primary |
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 Lucia Zdrazilova allows following entities to bill medicare on her behalf.
| Entity Name | Beaver Dam Community Hospitals Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972188555 PECOS PAC ID: 2567370539 Enrollment ID: O20040210000666 |
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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 Lucia Zdrazilova 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 Lucia Zdrazilova, MD 707 S University Ave, Beaver Dam, WI 53916-3027 Ph: () - | Dr Lucia Zdrazilova, MD 707 S University Ave, Beaver Dam, WI 53916-3027 Ph: (920) 887-5975 |
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