Dr Larissa Bresler, MD is a medicare enrolled "Urology" physician in Hines, Illinois. Her current practice location is
5000 S 5th Ave, Hines, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 202-2642.
Dr Larissa Bresler is licensed to practice in Illinois (license number 036120327) 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 1134395544.
Physician's Profile
| Full Name | Dr Larissa Bresler |
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| Gender | Female |
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| Speciality | Urology |
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| Location | 5000 S 5th Ave, Hines, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1134395544
- Provider Enumeration Date: 05/06/2008
- Last Update Date: 05/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 2567539182
- Enrollment ID: I20080924000337
Medical Identifiers
Medical identifiers for Dr Larissa Bresler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1134395544 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208800000X | Urology | 036120327 (Illinois) | 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. Dr Larissa Bresler allows following entities to bill medicare on her behalf.
| Entity Name | Loyola Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376041954 PECOS PAC ID: 6305109547 Enrollment ID: O20180420002063 |
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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. Dr Larissa Bresler 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 |
Dr Larissa Bresler, MD 2160 S 1st Ave, Bld 54 Urology, Maywood, IL 60153-3328 Ph: (708) 216-8152 | Dr Larissa Bresler, MD 5000 S 5th Ave, Hines, IL 60141-3030 Ph: (708) 202-2642 |
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