Jonathan Lavian, MD is a medicare enrolled "Dermatology" physician in Tempe, Arizona. He graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Richard Lee Averitte Jr Pllc and his current practice location is
2127 E Baseline Rd Ste 104, Tempe, Arizona. You can reach out to his office (for appointments etc.) via phone at
(804) 556-0446.
Jonathan Lavian is licensed to practice in Arizona (license number 66845) 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 1801327309.
Physician's Profile
| Full Name | Jonathan Lavian |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 9 Years |
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| Location | 2127 E Baseline Rd Ste 104, Tempe, Arizona |
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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:
- Jonathan Lavian graduated from medical school in 2017
NPI Data:
- NPI Number: 1801327309
- Provider Enumeration Date: 03/26/2017
- Last Update Date: 04/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 2062894967
- Enrollment ID: I20220808003501
Medical Identifiers
Medical identifiers for Jonathan Lavian such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1801327309 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 66845 (Arizona) | Secondary |
| 207N00000X | Dermatology | 66845 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Richard Lee Averitte Jr Pllc | 9638069099 | 27 |
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. Jonathan Lavian allows following entities to bill medicare on his behalf.
| Entity Name | Richard Lee Averitte Jr Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407804115
PECOS PAC ID: 9638069099
Enrollment ID: O20040318000802 |
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| Entity Name | Desert Oasis Dermatology Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780489526
PECOS PAC ID: 5294257960
Enrollment ID: O20250321003411 |
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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. Jonathan Lavian 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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Jonathan Lavian, MD
13835 N Tatum Blvd Ste 9-268,
Phoenix, AZ 85032-5590
Ph: (480) 418-3314 | Jonathan Lavian, MD
2127 E Baseline Rd Ste 104,
Tempe, AZ 85283-1537
Ph: (804) 556-0446 |
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