Lashaun Lee Vetzel, PA-C in Moody Afb, GA - Medicare Physician Assistant

Lashaun Lee Vetzel, PA-C is a medicare enrolled "Physician Assistant - Medical" in Moody Afb, Georgia. Her current practice location is 3278 Mitchell Blvd, Moody Afb, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 257-1459.

Lashaun Lee Vetzel is licensed to practice in Georgia (license number 002972) 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 1194898635.

Contact Information

	Lashaun Lee Vetzel, PA-C
	3278 Mitchell Blvd, Moody Afb, GA 31699-5645
	(229) 257-1459
	Not Available

Map and Direction

Provider's Profile

Full Name	Lashaun Lee Vetzel
Gender	Female
Speciality	Physician Assistant - Medical
Location	3278 Mitchell Blvd, Moody Afb, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194898635
Provider Enumeration Date: 11/15/2006
Last Update Date: 11/15/2017

Medicare PECOS Information:

PECOS PAC ID: 6800854753
Enrollment ID: I20041227000173

Medical Identifiers

Medical identifiers for Lashaun Lee Vetzel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194898635	NPI	-	NPPES
970018519	Other	GA	RAILROAD MEDICARE
1194898635	Other	GA	NPI
667002	Other	GA	BLUE CROSS BLUE SHIELD GA
100001360A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	002972 (Georgia)	Primary

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. Lashaun Lee Vetzel 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
Lashaun Lee Vetzel, PA-C 23 Rd Mtg, 3278 Mitchell Blvd, Moody Afb, GA 31699-1500 Ph: (229) 257-1459	Lashaun Lee Vetzel, PA-C 3278 Mitchell Blvd, Moody Afb, GA 31699-5645 Ph: (229) 257-1459

Reviews and Comments

Physician Assistant Nurses in Moody Afb, GA

Shawn Philip Knight, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3278 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-257-6144
Robert Niewoonder, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3278 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-292-3719
Gregory Ford, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3278 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-257-5820
George A Devita, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 23d Medical Group 3278 Mitchell Blvd, Moody Afb, GA 31699 Phone: 315-783-5876
David Eric Eaton, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 23rd Medical Group (acc), Moody Afb, GA 31605 Phone: 520-228-2511
Mr. Gordon H Campbell, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 3278 Mitchell Blvd, Moody Afb, GA 31699 Phone: 850-499-0257

Lashaun Lee Vetzel, PA-C - Medicare Physician Assistant in Moody Afb, GA