| Dr Thomas L Lazoff, MD | |
|
7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | |
| (260) 458-3640 | |
| (260) 479-1819 |
| Full Name | Dr Thomas L Lazoff |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 35 Years |
| Location | 7956 W Jefferson Blvd, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457354433 | NPI | - | NPPES |
| P00390615 | Other | IN | RR MEDICARE |
| 200089810A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0000X | Pain Medicine - Pain Medicine | 01040711A (Indiana) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 01040711A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Orthopaedic Hospital Of Lutheran Health Networ | Fort wayne, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lutheran Medical Group Llc | 4981751617 | 232 |
| Entity Name | Physical Medicine Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447314067 PECOS PAC ID: 1759487960 Enrollment ID: O20070504000321 |
| Entity Name | Lutheran Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164662805 PECOS PAC ID: 4981751617 Enrollment ID: O20090414000705 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas L Lazoff, MD 6920 Pointe Inverness Way Ste 200, Fort Wayne, IN 46804-7934 Ph: (260) 458-3640 | Dr Thomas L Lazoff, MD 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 Ph: (260) 458-3640 |
David S Stensland, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 7201 Engle Rd, Fort Wayne, IN 46804 Phone: 260-432-1800 Fax: 260-432-1804 | |
Mr. Jeremy R. Gall, ATC Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 7601 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-2620 | |
Elijah Klepper, PT, DPT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 11143 Parkview Plaza Dr Ste 100, Fort Wayne, IN 46845 Phone: 260-266-7400 Fax: 260-266-7439 | |
Sayed E. Wahezi, MD Physical Medicine & Rehabilitation Medicare: May Accept Medicare Assignments Practice Location: 3898 New Vision Dr, Suite B, Fort Wayne, IN 46845 Phone: 260-459-7313 Fax: 260-436-0628 | |
Elisha Lynn Hardesty, DPT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 11143 Parkview Plaza Dr Ste 100, Fort Wayne, IN 46845 Phone: 260-266-7400 Fax: 260-266-7439 | |
Delaney Faith Werling, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2200 Randallia Dr, Fort Wayne, IN 46805 Phone: 260-373-3202 | |
Ronald Lee Bonfiglio, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 7970 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-6100 |