Haydee Larralde Blanca, MD is a medicare enrolled "Pediatrics" physician in Washington Terrace, Utah. Her current practice location is
5285 S 400 E, Suite A, Washington Terrace, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 393-5355.
Haydee Larralde Blanca is licensed to practice in Utah (license number 7374163-1205) 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 1871760371.
Physician's Profile
| Full Name | Haydee Larralde Blanca |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 5285 S 400 E, Washington Terrace, Utah |
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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: 1871760371
- Provider Enumeration Date: 05/13/2008
- Last Update Date: 11/30/2011
Medicare PECOS Information:
- PECOS PAC ID: 9335427475
- Enrollment ID: I20161025001885
Medical Identifiers
Medical identifiers for Haydee Larralde Blanca such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1871760371 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 7374163-1205 (Utah) | 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. Haydee Larralde Blanca allows following entities to bill medicare on her behalf.
| Entity Name | Ihc Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
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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. Haydee Larralde Blanca 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 |
Haydee Larralde Blanca, MD 2240 Adams Ave, Ogden, UT 84401-1511 Ph: (801) 393-5355 | Haydee Larralde Blanca, MD 5285 S 400 E, Suite A, Washington Terrace, UT 84405-7194 Ph: (801) 393-5355 |
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