Dr Larissa Stacy, PT, DPT - Medicare Physical Therapist in Kermit, WV

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Dr Larissa Stacy, PT, DPT is a medicare enrolled "Physical Therapist" provider in Kermit, West Virginia. Her current practice location is 47454 Route 52, Kermit, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 393-4072.

Dr Larissa Stacy is licensed to practice in West Virginia (license number CP004549T) 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 1811411887.

Contact Information

Dr Larissa Stacy, PT, DPT
47454 Route 52,
Kermit, WV 25674-8052
(304) 393-4072
(304) 393-4074

Map and Direction




Healthcare Provider's Profile

Full NameDr Larissa Stacy
GenderFemale
SpecialityPhysical Therapist
Location47454 Route 52, Kermit, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811411887
  • Provider Enumeration Date: 08/01/2017
  • Last Update Date: 10/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0446627210
  • Enrollment ID: I20221108000892

Medical Identifiers

Medical identifiers for Dr Larissa Stacy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811411887NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 007169 (Kentucky)Secondary
225100000XPhysical Therapist CP004549T (West Virginia)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. Dr Larissa Stacy allows following entities to bill medicare on her behalf.
Provider NameSummit Physical Therapy Limited Partnership
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1336878263
PECOS PAC ID: 9830574391
Enrollment ID: O20221101000135

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. Dr Larissa Stacy 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
Dr Larissa Stacy, PT, DPT
414 Penco Rd,
Weirton, WV 26062-3822

Ph: (304) 393-4072		Dr Larissa Stacy, PT, DPT
47454 Route 52,
Kermit, WV 25674-8052

Ph: (304) 393-4072

Reviews and Comments


Physical Therapist in Kermit, WV

Therapy Providers Service Organization, Llc
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 47454 Route 52, Kermit, WV 25674
Phone: 304-393-4072    Fax: 304-393-4074
Mrs. Crystal Gail Krimm, MPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 47454 Route 52, Kermit, WV 25674
Phone: 304-393-4072    

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.