| Jeremy Daniel Lazorka, PA-C | |
|
45 Bellefonte Ave, Suite #2, Lock Haven, PA 17745 | |
| (570) 858-5328 | |
| (570) 858-5355 |
| Full Name | Jeremy Daniel Lazorka |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 45 Bellefonte Ave, Lock Haven, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043573066 | NPI | - | NPPES |
| 6Z2639 | Other | PA | MEDICARE PTAN |
| 103271986-0004 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MA055552 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Upmc Home Healthcare | Williamsport, PA | Home health agency |
| Residential Home Health Of Nc Pa, Llc | Lewisburg, PA | Home health agency |
| Upmc Williamsport | Williamsport, PA | Hospital |
| Mount Nittany Medical Center | State college, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Phoenix Rehabilitation And Health Services Inc | 3476464298 | 2775 |
| Haven Health And Wellness Llc | 6608317029 | 4 |
| Entity Name | Family Practice Center PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154376937 PECOS PAC ID: 0244124212 Enrollment ID: O20040211000012 |
| Entity Name | Haven Health and Wellness LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871328211 PECOS PAC ID: 6608317029 Enrollment ID: O20240925000593 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Daniel Lazorka, PA-C 45 Bellefonte Ave, Suite #2, Lock Haven, PA 17745-1237 Ph: (570) 858-5328 | Jeremy Daniel Lazorka, PA-C 45 Bellefonte Ave, Suite #2, Lock Haven, PA 17745 Ph: (570) 858-5328 |
Ashley Renee Foltz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 68 Spring St, Lock Haven, PA 17745 Phone: 800-230-4565 |
Katherin Marion Lorson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 68 Spring St, Lock Haven, PA 17745 Phone: 800-230-4565 Fax: 570-893-6325 |
Michelle Jan Bower, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 68 Spring St, Lock Haven, PA 17745 Phone: 800-230-4565 Fax: 570-893-6325 |
Mr. John R. Getz Jr., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 955 Bellefonte Ave, Lock Haven, PA 17745 Phone: 570-748-7714 Fax: 570-893-6325 |
Mrs. Sondra Suzette Perry, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1199 Checkerberry Ln, Lock Haven, PA 17745 Phone: 570-295-9616 |
Cory Lesher, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 68 Spring St, Lock Haven, PA 17745 Phone: 570-263-5840 Fax: 570-893-6325 |
Karinne Elizabeth Santonico, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 610 High St, Lock Haven, PA 17745 Phone: 570-748-1260 |