Jacquelyn Larussa, MD - Medicare Emergency Medicine in Grapevine, TX

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Jacquelyn Larussa, MD is a medicare enrolled "Emergency Medicine" physician in Grapevine, Texas. She went to Louisiana State University School Of Medicine In Shreveport and graduated in 2016 and has 8 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Century Integrated Partners, Inc and her current practice location is 1650 W College St, Grapevine, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 481-1588.

Jacquelyn Larussa is licensed to practice in Texas (license number S0492) 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 1093178360.

Contact Information

Jacquelyn Larussa, MD
1650 W College St,
Grapevine, TX 76051
(817) 481-1588
Not Available

Map and Direction




Physician's Profile

Full NameJacquelyn Larussa
GenderFemale
SpecialityEmergency Medicine
Experience8 Years
Location1650 W College St, Grapevine, Texas
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:
  • Jacquelyn Larussa attended and graduated from Louisiana State University School Of Medicine In Shreveport in 2016
  NPI Data:
  • NPI Number: 1093178360
  • Provider Enumeration Date: 04/03/2016
  • Last Update Date: 08/08/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8426381211
  • Enrollment ID: I20190611000485

Medical Identifiers

Medical identifiers for Jacquelyn Larussa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093178360NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine S0492 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baylor Scott & White Medical Center GrapevineGrapevine, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Century Integrated Partners, Inc6406151703232

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. Jacquelyn Larussa allows following entities to bill medicare on her behalf.
Entity NameIntegrative Emergency Services Physician Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285922542
PECOS PAC ID: 0749447936
Enrollment ID: O20120130000932
Entity NameCentury Integrated Partners, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447615711
PECOS PAC ID: 6406151703
Enrollment ID: O20160224002152
Entity NameIes Mobile Medicine Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992320758
PECOS PAC ID: 2466878624
Enrollment ID: O20200818003032

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. Jacquelyn Larussa 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
Jacquelyn Larussa, MD
1601 White Willow Ln,
Arlington, TX 76002-4645

Ph: (985) 790-2260		Jacquelyn Larussa, MD
1650 W College St,
Grapevine, TX 76051

Ph: (817) 481-1588

Reviews and Comments


Emergency Medicine Doctors in Grapevine, TX

Peter A. Brokish, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 4851 Merlot Ave Unit 550, Grapevine, TX 76051
Phone: 682-459-2849    
Dr. Roger C Sessions, DO
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1650 W College St, Grapevine, TX 76051
Phone: 817-488-7546    Fax: 214-712-2487
Ronald Jensen, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1650 W College St, Grapevine, TX 76051
Phone: 817-329-2502    
Dr. Nick Frank Musso Jr., M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1650 W College St, Grapevine, TX 76051
Phone: 817-329-2502    
Dr. Pedro Juan Loredo Iii, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 220 N Park Blvd Ste 100, Grapevine, TX 76051
Phone: 972-939-4974    Fax: 817-280-9870
Mrs. Theresa Biedenbach, P.A.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1650 W College St, Grapevine, TX 76051
Phone: 817-329-2502    

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.