Bryan Keoke Lazaro, PMHNP in Tempe, AZ - Medicare Nurse Practitioner

Bryan Keoke Lazaro, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Tempe, Arizona. His current practice location is 2111 E Baseline Rd Ste F4, Tempe, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 888-3474.

Bryan Keoke Lazaro is licensed to practice in Arizona (license number AP9561) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912458845.

Contact Information

	Bryan Keoke Lazaro, PMHNP
	2111 E Baseline Rd Ste F4, Tempe, AZ 85283-1519
	(602) 888-3474
	(762) 212-4347

Map and Direction

Provider's Profile

Full Name	Bryan Keoke Lazaro
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2111 E Baseline Rd Ste F4, Tempe, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912458845
Provider Enumeration Date: 10/14/2016
Last Update Date: 07/09/2025

Medicare PECOS Information:

PECOS PAC ID: 4880976521
Enrollment ID: I20170112003390

Medical Identifiers

Medical identifiers for Bryan Keoke Lazaro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912458845	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP9561 (Arizona)	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. Bryan Keoke Lazaro allows following entities to bill medicare on his behalf.

Entity Name	West Yavapai Guidance Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952550071 PECOS PAC ID: 3375524358 Enrollment ID: O20040526000422

Entity Name	Cerebro Wellness Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629689922 PECOS PAC ID: 4385018837 Enrollment ID: O20230323001557

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. Bryan Keoke Lazaro 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
Bryan Keoke Lazaro, PMHNP 5223 1/2 S 5th St, Phoenix, AZ 85040-8707 Ph: (602) 888-3474	Bryan Keoke Lazaro, PMHNP 2111 E Baseline Rd Ste F4, Tempe, AZ 85283-1519 Ph: (602) 888-3474

Reviews and Comments

Nurse Practitioner Nurses in Tempe, AZ

Mr. Christopher Ian Earle, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1835 E 6th St, Ste 21, Tempe, AZ 85281 Phone: 480-581-6981
Joan Marie Cobb, MSN, APN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2163 E Baseline Rd Ste 101, Tempe, AZ 85283 Phone: 480-646-8123 Fax: 480-646-8125
Mrs. Eva Yihui Wang, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 451 E University Dr, Tempe, AZ 85281 Phone: 480-965-3349 Fax: 490-965-9555
Alayna M Despain, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2033 E Warner Rd, Suite 109, Tempe, AZ 85284 Phone: 480-820-5525 Fax: 480-831-6755
Mrs. Jennifer Lindsey Atwood Green, RN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 618 S Madison Dr, Tempe, AZ 85281 Phone: 480-784-1514
Patricia Ann Faust, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6200 S Mcclintock Dr, 104, Tempe, AZ 85283 Phone: 480-388-3666 Fax: 480-388-3667
Rosalia Jimenez Vasquez, N.P. (NURSE PRACTITI Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2078 E Southern D-101, Tempe, AZ 85282 Phone: 480-968-9890 Fax: 480-968-9895

Bryan Keoke Lazaro, PMHNP - Medicare Nurse Practitioner in Tempe, AZ