Nicholas A Lazzaro, MD - Medicare Diagnostic Radiology in Boise, ID

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Nicholas A Lazzaro, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Boise, Idaho. He went to Indiana Medical College, School Of Medicine Of Purdue University and graduated in 2003 and has 21 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Boise Radiology Group Pllc and his current practice location is 190 E Bannock, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 381-2094.

Nicholas A Lazzaro is licensed to practice in Idaho (license number M-11001) 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 1700076619.

Contact Information

Nicholas A Lazzaro, MD
190 E Bannock,
Boise, ID 83712
(208) 381-2094
(208) 381-1791

Map and Direction




Physician's Profile

Full NameNicholas A Lazzaro
GenderMale
SpecialityDiagnostic Radiology
Experience21 Years
Location190 E Bannock, Boise, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicholas A Lazzaro attended and graduated from Indiana Medical College, School Of Medicine Of Purdue University in 2003
  NPI Data:
  • NPI Number: 1700076619
  • Provider Enumeration Date: 07/26/2007
  • Last Update Date: 07/08/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 1254499502
  • Enrollment ID: I20100621000515

Medical Identifiers

Medical identifiers for Nicholas A Lazzaro such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700076619NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 4301082251 (Michigan)Secondary
2085R0202XRadiology - Diagnostic Radiology M-11001 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Regional Medical CenterBoise, IDHospital
St Luke's Nampa Medical CenterNampa, IDHospital
St Luke's Wood River Medical CenterKetchum, IDHospital
St Luke's Elmore Medical CenterMountain home, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Boise Radiology Group Pllc963815325753

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. Nicholas A Lazzaro allows following entities to bill medicare on his behalf.
Entity NameBoise Radiology Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740216175
PECOS PAC ID: 9638153257
Enrollment ID: O20040614000277
Entity NameWeiser Valley Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255364030
PECOS PAC ID: 5294704276
Enrollment ID: O20050124000126
Entity NameNorth Canyon Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609046671
PECOS PAC ID: 0941371439
Enrollment ID: O20090409000304

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. Nicholas A Lazzaro 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 AddressPractice Location Address
Nicholas A Lazzaro, MD
115 W Main Street, Suite 202,
Boise, ID 83702

Ph: (208) 433-9466		Nicholas A Lazzaro, MD
190 E Bannock,
Boise, ID 83712

Ph: (208) 381-2094

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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