Mrs Adi Lazary-dagan, CNM in Baltimore, MD - Medicare Advanced Practice Midwife

Mrs Adi Lazary-dagan, CNM is a medicare enrolled "Advanced Practice Midwife" in Baltimore, Maryland. Her current practice location is 4940 Eastern Ave, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 550-0337.

Mrs Adi Lazary-dagan is licensed to practice in Maryland (license number R164095) 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 1275860728.

Contact Information

	Mrs Adi Lazary-dagan, CNM
	4940 Eastern Ave, Baltimore, MD 21224-2735
	(410) 550-0337
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Adi Lazary-dagan
Gender	Female
Speciality	Advanced Practice Midwife
Location	4940 Eastern Ave, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275860728
Provider Enumeration Date: 11/04/2009
Last Update Date: 09/16/2023

Medicare PECOS Information:

PECOS PAC ID: 9638474083
Enrollment ID: I20160223000280

Medical Identifiers

Medical identifiers for Mrs Adi Lazary-dagan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275860728	NPI	-	NPPES
R164095	Other	MD	MD LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LX0001X	Nurse Practitioner - Obstetrics & Gynecology	R164095 (Maryland)	Secondary
367A00000X	Advanced Practice Midwife	R164095 (Maryland)	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. Mrs Adi Lazary-dagan allows following entities to bill medicare on her behalf.

Entity Name	Baltimore Medical System, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164138152 PECOS PAC ID: 5395653455 Enrollment ID: O20031121000651

Entity Name	Johns Hopkins University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719

Entity Name	University Of Maryland Community Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477530624 PECOS PAC ID: 3678472214 Enrollment ID: O20040102000687

Entity Name	Greater Baltimore Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891855763 PECOS PAC ID: 1759276975 Enrollment ID: O20040217000852

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. Mrs Adi Lazary-dagan 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
Mrs Adi Lazary-dagan, CNM 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: () -	Mrs Adi Lazary-dagan, CNM 4940 Eastern Ave, Baltimore, MD 21224-2735 Ph: (410) 550-0337

Reviews and Comments

Advanced Practice Midwife Nurses in Baltimore, MD

Ms. Sharon Maree Elmes-curtis, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 6701 N Charles St, Dept Of Labor And Delivery, Baltimore, MD 21204 Phone: 443-849-2577
Archana Sharma, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 301 Saint Paul Pl, Tower # 306, Baltimore, MD 21202 Phone: 410-385-5151 Fax: 410-962-8763
Sarah Proett, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 900 S Caton Ave, Mailbox 081, Baltimore, MD 21229 Phone: 443-703-3200 Fax: 443-703-3201
Ms. Lauren Kelly Rosales, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1701 Barclay St, Baltimore, MD 21202 Phone: 630-809-6115
Julia Bluestone, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 330 N Howard St, Baltimore, MD 21201 Phone: 410-576-2130
Anne B Woods, C.N.M. Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 9000 Franklin Square Dr, Women's Pavilion, Baltimore, MD 21237 Phone: 443-777-8005
Mrs. Kara Hickey, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 330 N Howard St, Suite 200, Baltimore, MD 21201 Phone: 301-332-4968

Mrs Adi Lazary-dagan, CNM - Medicare Advanced Practice Midwife in Baltimore, MD