Kelly Larrea, is a medicare enrolled "Physician Assistant" physician in Winter Haven, Florida. She graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice South Florida Ent Associates Inc and her current practice location is
160 E Lake Howard Dr, Winter Haven, Florida. You can reach out to her office (for appointments etc.) via phone at
(863) 299-1251.
Kelly Larrea is licensed to practice in Florida (license number PA2679) 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 1205351020.
Physician's Profile
| Full Name | Kelly Larrea |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 35 Years |
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| Location | 160 E Lake Howard Dr, Winter Haven, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kelly Larrea graduated from medical school in 1989
NPI Data:
- NPI Number: 1205351020
- Provider Enumeration Date: 08/14/2017
- Last Update Date: 09/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 8729348909
- Enrollment ID: I20180208000224
Medical Identifiers
Medical identifiers for Kelly Larrea such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205351020 | NPI | - | NPPES |
| 108977700 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | PA2679 (Florida) | Secondary |
| 363A00000X | Physician Assistant | PA2679 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| South Florida Ent Associates Inc | 4587556923 | 130 |
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. Kelly Larrea 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 |
|---|
Kelly Larrea,
15280 Nw 79th Ct Ste 200,
Miami Lakes, FL 33016-5873
Ph: (305) 558-3724 | Kelly Larrea,
160 E Lake Howard Dr,
Winter Haven, FL 33881-3155
Ph: (863) 299-1251 |
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