Judd Laraway, PA-C in San Diego, CA - Medicare Physician Assistant

Judd Laraway, PA-C is a medicare enrolled "Physician Assistant" in San Diego, California. His current practice location is 200 W Arbor Dr, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 543-5540.

Judd Laraway is licensed to practice in California (license number PA16735) 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 1154505402.

Contact Information

	Judd Laraway, PA-C
	200 W Arbor Dr, San Diego, CA 92103-9000
	(619) 543-5540
	Not Available

Map and Direction

Provider's Profile

Full Name	Judd Laraway
Gender	Male
Speciality	Physician Assistant
Location	200 W Arbor Dr, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154505402
Provider Enumeration Date: 12/21/2007
Last Update Date: 10/29/2019

Medicare PECOS Information:

PECOS PAC ID: 8729144092
Enrollment ID: I20090311000709

Medical Identifiers

Medical identifiers for Judd Laraway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154505402	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AS0400X	Physician Assistant - Surgical	PA16735 (California)	Secondary
363A00000X	Physician Assistant	PA16735 (California)	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. Judd Laraway allows following entities to bill medicare on his behalf.

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881796811 PECOS PAC ID: 3577476761 Enrollment ID: O20031204001255

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. Judd Laraway 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
Judd Laraway, PA-C Po Box 232410, San Diego, CA 92193-2410 Ph: () -	Judd Laraway, PA-C 200 W Arbor Dr, San Diego, CA 92103-9000 Ph: (619) 543-5540

Reviews and Comments

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Judd Laraway, PA-C - Medicare Physician Assistant in San Diego, CA