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DR. DEWAYNE CHARLES LAZENBY MD
NPI 1073507364
Pediatrics - Developmental - Behavioral Pediatrics in Jber, AK

Active since September 01, 2005PECOS Enrolled
5955 ZEAMER AVE, 673D MDG, JBER, AK 99506(907) 580-2908 Get Directions Write a Review

NPPES record last updated: August 3, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Dewayne Charles Lazenby Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DEWAYNE CHARLES LAZENBY MD (NPI 1073507364) is an individual developmental - behavioral pediatrics provider in Jber, Alaska, licensed in Massachusetts (250871) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073507364
Entity TypeIndividualMale
Primary Taxonomy2080P0006X
Provider Legal NameDR. DEWAYNE CHARLES LAZENBYCredential: MD
Location Address5955 ZEAMER AVE, 673D MDGJber, AK 99506-3702
Mailing Address5955 Zeamer Ave, 673d MdgJber, AK 99506-3702 · (907) 580-2908
Phone(907) 580-2908
Sole ProprietorNo
Enumeration DateSeptember 1, 2005
Last NPPES UpdateAugust 3, 2015
✔ NPI 1073507364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
License✔ Licensed in MA · 250871
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
5955 ZEAMER AVE, Jber, AK 99506
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dewayne Charles Lazenby Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AUDREA DONETA WILLIAMS M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
5955 ZEAMER AVE
JBER, AK 99506
Anchorage Municipality (907) 580-6552
DR. IAN CIRASUNDA DETTMAN PHARMD
Pharmacist
5955 ZEAMER AVE
JBER, AK 99506
Anchorage Municipality (907) 580-6800
DR. BRIAN G ROGERS MD
Emergency Medicine
5955 ZEAMER AVE, 3RD MD6
ELMENDORF AFB, AK 99506
Anchorage Municipality (907) 580-5555
MS. MONIQUE CELINE GASSEK ATC
Specialist/Technologist (Athletic Trainer)
5955 ZEAMER AVE
ELMENDORF AFB, AK 99506
Anchorage Municipality (603) 915-7141
RACHELLE GOEBEL
Dietitian, Registered
5955 ZEAMER AVE
JBER, AK 99506
Anchorage Municipality (907) 580-4050
DR. DAVID JOSEPH SHAW D.O.
Internal Medicine (Cardiovascular Disease)
5955 ZEAMER AVE, 673D MDG
JBER ELMENDORF AFB, AK 99506
Anchorage Municipality (907) 580-1011
ELDON SNYDER D.O.
Radiology (Diagnostic Radiology)
5955 ZEAMER AVE
JBER, AK 99506
Anchorage Municipality (907) 580-6760
DR. KIMPREET KAUR
Anesthesiology (Pain Medicine)
5955 ZEAMER AVE
ELMENDORF AFB, AK 99506
Anchorage Municipality (907) 580-7246

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dewayne Lazenby's NPI number?

The NPI number for Dewayne Lazenby is 1073507364. It was assigned to this individual provider in the NPPES registry on September 1, 2005.

Where is Dewayne Lazenby located?

Dewayne Lazenby practices at 5955 Zeamer Ave 673D Mdg, Jber, AK 99506. The listed phone number is (907) 580-2908.

What is Dewayne Lazenby's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Dewayne Lazenby enrolled in Medicare?

Yes. Dewayne Lazenby is registered in the Medicare PECOS enrollment system.

What insurance does Dewayne Lazenby accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Dewayne Lazenby as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dewayne Lazenby was last updated on August 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.