Mr William John Larock, FNP is a medicare enrolled "Nurse Practitioner - Family" in Richland, New York. His current practice location is
232 Waggoner Rd, Richland, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 298-6654.
Mr William John Larock is licensed to practice in New York (license number F336454) 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 1356658710.
Provider's Profile
| Full Name | Mr William John Larock |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 232 Waggoner Rd, Richland, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1356658710
- Provider Enumeration Date: 09/07/2010
- Last Update Date: 09/07/2010
Medicare PECOS Information:
- PECOS PAC ID: 1052595097
- Enrollment ID: I20110415000152
Medical Identifiers
Medical identifiers for Mr William John Larock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1356658710 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | F336454 (New York) | 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. Mr William John Larock allows following entities to bill medicare on his behalf.
| Entity Name | St Joseph's Physician Health Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154376770 PECOS PAC ID: 9436041431 Enrollment ID: O20040325001159 |
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| Entity Name | St Josephs Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942501747 PECOS PAC ID: 4688855844 Enrollment ID: O20110221000744 |
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| Entity Name | Pulaski Medical Urgent Care Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568829356 PECOS PAC ID: 1951608579 Enrollment ID: O20160328000380 |
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| Entity Name | Wellnow Urgent Care, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669825162 PECOS PAC ID: 8325320864 Enrollment ID: O20170118001953 |
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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. Mr William John Larock 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 |
Mr William John Larock, FNP 232 Waggoner Rd, Richland, NY 13144-4478 Ph: (315) 298-6654 | Mr William John Larock, FNP 232 Waggoner Rd, Richland, NY 13144-4478 Ph: (315) 298-6654 |
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