Dr Lisa Dang Larose, MD - Medicare Radiology in Jb Andrews, MD

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Dr Lisa Dang Larose, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Jb Andrews, Maryland. Her current practice location is 1060 W Perimeter Rd, Jb Andrews, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 612-2020.

Dr Lisa Dang Larose is licensed to practice in Virginia (license number 0101254304) 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 1285933838.

Contact Information

Dr Lisa Dang Larose, MD
1060 W Perimeter Rd,
Jb Andrews, MD 20762-6602
(240) 612-2020
(240) 612-3880

Map and Direction




Physician's Profile

Full NameDr Lisa Dang Larose
GenderFemale
SpecialityRadiology - Diagnostic Radiology
Location1060 W Perimeter Rd, Jb Andrews, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285933838
  • Provider Enumeration Date: 03/22/2011
  • Last Update Date: 08/04/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5193047025
  • Enrollment ID: I20210924002362

Medical Identifiers

Medical identifiers for Dr Lisa Dang Larose such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285933838NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083P0500XPreventive Medicine - Preventive Medicine/occupational Environmental Medicine 0101254304 (Virginia)Secondary
208D00000XGeneral Practice 0101254304 (Virginia)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
2085R0202XRadiology - Diagnostic Radiology 0101254304 (Virginia)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 Lisa Dang Larose allows following entities to bill medicare on her behalf.
Entity NameSouth Florida Medical Imaging Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518945575
PECOS PAC ID: 7618869900
Enrollment ID: O20180320003264
Entity NameEnloe Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477975613
PECOS PAC ID: 9739092388
Enrollment ID: O20181024001108
Entity NameCarilion Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730123472
PECOS PAC ID: 9830096585
Enrollment ID: O20231009000160
Entity NameCarilion Giles Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194718304
PECOS PAC ID: 3678670221
Enrollment ID: O20231019000477
Entity NameCarilion Tazewell Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427040328
PECOS PAC ID: 4183604259
Enrollment ID: O20231103000736
Entity NameCarilion Rockbridge Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174636021
PECOS PAC ID: 4789658261
Enrollment ID: O20231218000232

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 Lisa Dang Larose 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 AddressPractice Location Address
Dr Lisa Dang Larose, MD
Malcolm Grow Medical Clinics And Surgery Center, 1060 W. Perimeter Rd,
Jb Andrews, MD 20762

Ph: (240) 612-2020		Dr Lisa Dang Larose, MD
1060 W Perimeter Rd,
Jb Andrews, MD 20762-6602

Ph: (240) 612-2020

Reviews and Comments


Radiology Doctors in Jb Andrews, MD

Dr. Jeremy Theron Drenckhahn, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1060 W Perimeter Rd, Jb Andrews, MD 20762
Phone: 763-458-4931    
Dr. Christopher Norman Vojta, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1060 W Perimeter Rd, Jb Andrews, MD 20762
Phone: 240-612-2020    
Dr. Mischa Monroe, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1060 W Perimeter Rd, Jb Andrews, MD 20762
Phone: 301-612-4849    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.