Dr Laurie M Woll, DO is a medicare enrolled "Dermatology" physician in Montclair, California. She graduated from medical school in 1975 and has 49 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Laurie M Woll Do Dermatology A Medical Corp and her current practice location is
9301 Central Ave, #201, Montclair, California. You can reach out to her office (for appointments etc.) via phone at
(909) 621-5005.
Dr Laurie M Woll is licensed to practice in California (license number 20A4394) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1891865044.
Physician's Profile
| Full Name | Dr Laurie M Woll |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 49 Years |
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| Location | 9301 Central Ave, Montclair, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Laurie M Woll graduated from medical school in 1975
NPI Data:
- NPI Number: 1891865044
- Provider Enumeration Date: 11/08/2006
- Last Update Date: 05/08/2013
Medicare PECOS Information:
- PECOS PAC ID: 8628005972
- Enrollment ID: I20050719000784
Medical Identifiers
Medical identifiers for Dr Laurie M Woll such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891865044 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 20A4394 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Laurie M Woll Do Dermatology A Medical Corp | 2466489711 | 4 |
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 Laurie M Woll allows following entities to bill medicare on her behalf.
| Entity Name | Laurie M Woll Do Dermatology A Medical Corp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477740546
PECOS PAC ID: 2466489711
Enrollment ID: O20050719000777 |
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| Entity Name | Laurie M Woll Do Dermatology A Medical Corp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477740546
PECOS PAC ID: 2466489711
Enrollment ID: O20071228000168 |
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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 Laurie M Woll 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 |
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Dr Laurie M Woll, DO
9301 Central Ave, #201,
Montclair, CA 91763
Ph: (909) 621-5005 | Dr Laurie M Woll, DO
9301 Central Ave, #201,
Montclair, CA 91763
Ph: (909) 621-5005 |
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