Stefanie Lazow, in Burlington, VT

Stefanie Lazow, is a medicare enrolled "Surgery" physician in Burlington, Vermont. Her current practice location is 111 Colchester Ave, Burlington, Vermont. You can reach out to her office (for appointments etc.) via phone at (802) 847-0000.

Stefanie Lazow is licensed to practice in Vermont (license number 042.0018708) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1841652047.

Contact Information

	Stefanie Lazow,
	111 Colchester Ave, Burlington, VT 05401-1473
	(802) 847-0000
	Not Available

Map and Direction

Physician's Profile

Full Name	Stefanie Lazow
Gender	Female
Speciality	Surgery
Location	111 Colchester Ave, Burlington, Vermont
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841652047
Provider Enumeration Date: 03/26/2016
Last Update Date: 08/08/2025

Medicare PECOS Information:

PECOS PAC ID: 3476096603
Enrollment ID: I20240617001778

Medical Identifiers

Medical identifiers for Stefanie Lazow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841652047	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	70293 (Tennessee)	Secondary
2086S0102X	Surgery - Surgical Critical Care	042.0018708 (Vermont)	Secondary
2086S0102X	Surgery - Surgical Critical Care	70293 (Tennessee)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
208600000X	Surgery	042.0018708 (Vermont)	Primary

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. Stefanie Lazow allows following entities to bill medicare on her behalf.

Entity Name	Vanderbilt University Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20151006000369

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. Stefanie Lazow 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
Stefanie Lazow, 3841 Green Hills Village Dr Ste 200, Nashville, TN 37215-2691 Ph: (615) 322-6842	Stefanie Lazow, 111 Colchester Ave, Burlington, VT 05401-1473 Ph: (802) 847-0000

Reviews and Comments

Surgery Doctors in Burlington, VT

Ralph Morton Bolman Iii, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 111 Colchester Ave., Uvm Medical Center - Ct Surgery, Burlington, VT 05401 Phone: 802-847-4044 Fax: 802-847-8158
Dr. David Nielsen Krag, MD Surgery Medicare: Medicare Enrolled Practice Location: 111 Colchester Ave, Main Paviliion-level 2, Burlington, VT 05401 Phone: 802-656-5830 Fax: 802-656-5833
Dr. Mark L. Wulkan, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-4273 Fax: 802-847-4462
Conor O'neill, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-0000
Dr. Sarah Anne Kelso-o'brien, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-2345
Tessa Caitlin Cattermole, MD Surgery Medicare: Medicare Enrolled Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-0000
Dr. Gary Chun-i An, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-3790 Fax: 312-695-1462

Stefanie Lazow, - Medicare Surgery in Burlington, VT