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

Dr Lisa Dang Larose, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Jb Andrews, Maryland. She went to Uniformed Services Uhs Fe Hebert School Of Med and graduated in 2011 and has 13 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Direct Radiology Pllc, Enloe Medical Center and 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 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 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
SpecialityDiagnostic Radiology
Experience13 Years
Location1060 W Perimeter Rd, Jb Andrews, Maryland
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Lisa Dang Larose attended and graduated from Uniformed Services Uhs Fe Hebert School Of Med in 2011
  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

Medical Facilities Affiliation

Facility NameLocationFacility Type
Enloe Medical CenterChico, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Direct Radiology Pllc943639616535
Enloe Medical Center9739092388287

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 NameDirect Radiology Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144572173
PECOS PAC ID: 9436396165
Enrollment ID: O20150604000406
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

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

Nathan Bumbarger, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 1060 W Perimeter Rd, Jb Andrews, MD 20762
Phone: 240-612-1753    

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.