Larisa King, - Medicare Nurse Practitioner in Greensboro, NC

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Larisa King, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Greensboro, North Carolina. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Destiny Total Healthcare Pllc and her current practice location is 1901 Adams Farm Pkwy, Greensboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 722-7266.

Larisa King is licensed to practice in North Carolina (license number 5012717) 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 1699314971.

Contact Information

Larisa King,
1901 Adams Farm Pkwy,
Greensboro, NC 27407-6338
(336) 722-7266
(336) 201-0538

Map and Direction




Provider's Profile

Full NameLarisa King
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location1901 Adams Farm Pkwy, Greensboro, North Carolina
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:
  • Larisa King graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1699314971
  • Provider Enumeration Date: 01/03/2020
  • Last Update Date: 08/31/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3173952611
  • Enrollment ID: I20200403000194

Medical Identifiers

Medical identifiers for Larisa King such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699314971NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 178286 (North Carolina)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 5012717 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Destiny Total Healthcare Pllc99315100132

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. Larisa King allows following entities to bill medicare on her behalf.
Entity NameMood Treatment Center, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285867952
PECOS PAC ID: 6103068598
Enrollment ID: O20130814000785
Entity NameDestiny Total Healthcare Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487251807
PECOS PAC ID: 9931510013
Enrollment ID: O20201120001120

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. Larisa King 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
Larisa King,
713 S Marshall St,
Winston Salem, NC 27101-5808

Ph: (336) 722-7266		Larisa King,
1901 Adams Farm Pkwy,
Greensboro, NC 27407-6338

Ph: (336) 722-7266

Reviews and Comments


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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.