Samara D Lazernick, MD - Medicare Obstetrics/gynecology in Tooele, UT

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Samara D Lazernick, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Tooele, Utah. She went to Eastern Virginia Medical School and graduated in 2008 and has 17 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Tooele Clinic Corp and her current practice location is 196 E. 2000 N., Suite 104, Tooele, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 843-2576.

Samara D Lazernick is licensed to practice in Utah (license number 8229754-1205) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1659532307.

Contact Information

Samara D Lazernick, MD
196 E. 2000 N., Suite 104,
Tooele, UT 84074
(435) 843-2576
Not Available

Map and Direction




Physician's Profile

Full NameSamara D Lazernick
GenderFemale
SpecialityObstetrics/gynecology
Experience17 Years
Location196 E. 2000 N., Tooele, Utah
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samara D Lazernick attended and graduated from Eastern Virginia Medical School in 2008
  NPI Data:
  • NPI Number: 1659532307
  • Provider Enumeration Date: 06/24/2008
  • Last Update Date: 01/03/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6103073515
  • Enrollment ID: I20120820000910

Medical Identifiers

Medical identifiers for Samara D Lazernick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659532307NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 8229754-1205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mountain West Medical CenterTooele, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tooele Clinic Corp680070087355

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. Samara D Lazernick allows following entities to bill medicare on her behalf.
Entity NameTooele Clinic Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073512364
PECOS PAC ID: 6800700873
Enrollment ID: O20031113000800

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. Samara D Lazernick 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
Samara D Lazernick, MD
196 E. 2000 N., Suite 104,
Tooele, UT 84074

Ph: (435) 843-2576		Samara D Lazernick, MD
196 E. 2000 N., Suite 104,
Tooele, UT 84074

Ph: (435) 843-2576

Reviews and Comments


Obstetrics & Gynecology Doctors in Tooele, UT

Dr. Megan M Shutts-karjola, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 196 E 2000 N, Suite 107, Tooele, UT 84074
Phone: 435-843-3678    Fax: 435-833-9829
Dr. Meena Mirdamadi Aserlind, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 196 E 2000 N Ste 101, Tooele, UT 84074
Phone: 435-843-3678    Fax: 435-843-7181
Jeffrey F Bray, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 196 E 2000 N Ste 101, Tooele, UT 84074
Phone: 435-843-3678    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.