| Mrs Mary Patricia Lazarek, CRNP | |
| 
					2424 Reedie Dr, Wheaton, MD 20902-4624  | |
| (301) 962-6173 | |
| Not Available | 
| Full Name | Mrs Mary Patricia Lazarek | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 2424 Reedie Dr, Wheaton, Maryland | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1689747974 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R103005 (Maryland) | Primary | 
| 363L00000X | Nurse Practitioner | 0024066457 (Virginia) | Secondary | 
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Mary Patricia Lazarek, CRNP 2101 E Jefferson St, Kaiser Permanente Medicare Enrollment, Rockville, MD 20852-4908 Ph: (301) 816-7405  | Mrs Mary Patricia Lazarek, CRNP 2424 Reedie Dr, Wheaton, MD 20902-4624 Ph: (301) 962-6173  | 
Caroline Tierney,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11915 Georgia Ave, Wheaton, MD 20902 Phone: 301-942-4505  | |
Nancy Mathes Horan, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2309 Shorefield Rd, Wheaton, MD 20902 Phone: 301-933-5050 Fax: 301-949-3262  | |
Mrs. Sarah Calvert Lartey, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2401 Blueridge Ave Ste 210, Wheaton, MD 20902 Phone: 301-933-6440  | |
Mercedes Elieth Miranda-sheffield, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2730 University Blvd W Ste 420, Wheaton, MD 20902 Phone: 240-669-6330  | |
Geri Lindberg Hoggard, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 Blueridge Ave, Suite 210, Wheaton, MD 20902 Phone: 301-933-6440 Fax: 301-933-5923  | |
Banis Githinji, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11101 Georgia Ave Unit 559, Wheaton, MD 20902 Phone: 240-575-0437  |