Dr Nicholas W Lazoff, MD is a medicare enrolled "Emergency Medicine" physician in Decatur, Indiana. He went to Indiana University School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Adams County Memorial Hospital and his current practice location is
1100 Mercer Ave, Decatur, Indiana. You can reach out to his office (for appointments etc.) via phone at
(260) 724-2145.
Dr Nicholas W Lazoff is licensed to practice in Indiana (license number 01048939A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1891830345.
Physician's Profile
| Full Name | Dr Nicholas W Lazoff |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 27 Years |
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| Location | 1100 Mercer Ave, Decatur, Indiana |
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| Accepts Medicare Assignments | Yes. He 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 Nicholas W Lazoff attended and graduated from Indiana University School Of Medicine in 1997
NPI Data:
- NPI Number: 1891830345
- Provider Enumeration Date: 02/21/2007
- Last Update Date: 06/18/2010
Medicare PECOS Information:
- PECOS PAC ID: 3476746058
- Enrollment ID: I20101015000706
Medical Identifiers
Medical identifiers for Dr Nicholas W Lazoff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891830345 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 01048939A (Indiana) | Primary |
| 207Q00000X | Family Medicine | 01048939A (Indiana) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Adams County Memorial Hospital | 0941198253 | 69 |
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 Nicholas W Lazoff allows following entities to bill medicare on his behalf.
| Entity Name | Adams County Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689696148
PECOS PAC ID: 0941198253
Enrollment ID: O20041001000326 |
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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 Nicholas W Lazoff 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 Nicholas W Lazoff, MD
16229 Canyon Run,
Fort Wayne, IN 46845-9082
Ph: () - | Dr Nicholas W Lazoff, MD
1100 Mercer Ave,
Decatur, IN 46733-2303
Ph: (260) 724-2145 |
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