Dr Ralph G Laraiso, DO is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Prosser, Washington. His current practice location is
336 Chardonnay Ave Ste A, Prosser, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 786-1576.
Dr Ralph G Laraiso is licensed to practice in Washington (license number OP60722041) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1699770842.
Physician's Profile
| Full Name | Dr Ralph G Laraiso |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 336 Chardonnay Ave Ste A, Prosser, Washington |
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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: 1699770842
- Provider Enumeration Date: 06/15/2005
- Last Update Date: 08/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 2961466040
- Enrollment ID: I20140417001987
Medical Identifiers
Medical identifiers for Dr Ralph G Laraiso such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1699770842 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208100000X | Physical Medicine & Rehabilitation | 34.11223 (Ohio) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 235585 (New York) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 2011032951 (Missouri) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | OP60722041 (Washington) | 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 Ralph G Laraiso allows following entities to bill medicare on his behalf.
| Entity Name | Trihealth Rehabilitation Hospital, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891140893 PECOS PAC ID: 7719282755 Enrollment ID: O20160614002675 |
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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 Ralph G Laraiso 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 Ralph G Laraiso, DO 723 Memorial St, Prosser, WA 99350-1524 Ph: (509) 786-1576 | Dr Ralph G Laraiso, DO 336 Chardonnay Ave Ste A, Prosser, WA 99350-9515 Ph: (509) 786-1576 |
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