Christian Lara-ensslin, PA-C is a medicare enrolled "Physician Assistant" in Loris, South Carolina. His current practice location is 
3655 Mitchell St, Loris, South Carolina. You can reach out to his office (for appointments etc.) via phone at 
(843) 716-7000.
Christian Lara-ensslin is licensed to practice in * (Not Available) (license number ) 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 1124766134.
				
				
				
				
				
		 
		
		 
Provider's Profile
		
			
			
			| Full Name | Christian Lara-ensslin | 
|---|
| Gender | Male | 
|---|
| Speciality | Physician Assistant | 
|---|
| Location | 3655 Mitchell St, Loris, South Carolina | 
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1124766134
 - Provider Enumeration Date: 05/20/2022
 - Last Update Date: 08/06/2023
 			
			  Medicare PECOS Information:
- PECOS PAC ID: 6406232735
 - Enrollment ID: I20221010002581
 
			 
		 
		 
Medical Identifiers
		Medical identifiers for Christian Lara-ensslin such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1124766134 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 363A00000X | Physician Assistant  |  (* (Not Available)) | Primary | 
		
		
			
			
			
		
		
		 
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. Christian Lara-ensslin 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 | 
		Christian Lara-ensslin, PA-C 3655 Mitchell St, Loris, SC 29569-2827 Ph: (843) 716-7000 | Christian Lara-ensslin, PA-C 3655 Mitchell St, Loris, SC 29569-2827 Ph: (843) 716-7000 | 
		
		 
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