Jackeline Chaparro Lorenzo Larker, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Morrisville, North Carolina. Her current practice location is
6102 Grace Park Dr, Morrisville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 235-6480.
Jackeline Chaparro Lorenzo Larker is licensed to practice in North Carolina (license number 2024-02413) 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 1740819549.
Physician's Profile
| Full Name | Jackeline Chaparro Lorenzo Larker |
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| Gender | Female |
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| Speciality | Obstetrics & Gynecology |
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| Location | 6102 Grace Park Dr, Morrisville, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1740819549
- Provider Enumeration Date: 04/03/2020
- Last Update Date: 09/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 5193147809
- Enrollment ID: I20241203000478
Medical Identifiers
Medical identifiers for Jackeline Chaparro Lorenzo Larker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740819549 | NPI | - | NPPES |
| 1740819549 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 2024-02413 (North Carolina) | 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. Jackeline Chaparro Lorenzo Larker allows following entities to bill medicare on her behalf.
| Entity Name | Wakemed Specialists Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588227839
PECOS PAC ID: 2466788377
Enrollment ID: O20190731000815 |
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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. Jackeline Chaparro Lorenzo Larker 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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Jackeline Chaparro Lorenzo Larker, DO
Po Box 603949,
Charlotte, NC 28260-3949
Ph: (919) 350-0351 | Jackeline Chaparro Lorenzo Larker, DO
6102 Grace Park Dr,
Morrisville, NC 27560-6003
Ph: (919) 235-6480 |
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