Larissa N Botcharnikova, PA-C - Medicare Physician Assistant in Shasta Lake, CA

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Larissa N Botcharnikova, PA-C is a medicare enrolled "Physician Assistant" in Shasta Lake, California. Her current practice location is 4215 Front St, Shasta Lake, California. You can reach out to her office (for appointments etc.) via phone at (530) 246-5710.

Larissa N Botcharnikova is licensed to practice in California (license number PA17636) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1720122054.

Contact Information

Larissa N Botcharnikova, PA-C
4215 Front St,
Shasta Lake, CA 96019-9430
(530) 246-5710
(530) 241-7838

Map and Direction




Provider's Profile

Full NameLarissa N Botcharnikova
GenderFemale
SpecialityPhysician Assistant
Location4215 Front St, Shasta Lake, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720122054
  • Provider Enumeration Date: 02/19/2007
  • Last Update Date: 09/15/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1153508544
  • Enrollment ID: I20110613000471

Medical Identifiers

Medical identifiers for Larissa N Botcharnikova such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720122054NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA17636 (California)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. Larissa N Botcharnikova 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
Larissa N Botcharnikova, PA-C
Po Box 992790,
Redding, CA 96099-2790

Ph: (530) 246-5710		Larissa N Botcharnikova, PA-C
4215 Front St,
Shasta Lake, CA 96019-9430

Ph: (530) 246-5710

Reviews and Comments


Physician Assistant Nurses in Shasta Lake, CA

Peggy Jane Deforest, P.A.
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 5145 Shasta Dam Blvd, Shasta Lake, CA 96019
Phone: 530-275-5421    

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.