Dr. Christopher M Larosa Llc is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Gibbsboro, New Jersey. Their current practice location is
146 Lakeview Dr S, Suite 101, Gibbsboro, New Jersey. You can reach out to their office (for appointments etc.) via phone at
(856) 435-4002.
Dr. Christopher M Larosa Llc is licensed to practice in New Jersey (license number MD002471) and it also participates in the medicare program. Dr. Christopher M Larosa Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1235253600.
Healthcare Provider's Profile
| Full Name | Dr. Christopher M Larosa Llc |
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| Type | Facility |
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| Speciality | Podiatrist - Foot & Ankle Surgery |
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| Location | 146 Lakeview Dr S, Gibbsboro, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1235253600
- Provider Enumeration Date: 03/19/2007
- Last Update Date: 03/11/2010
Medicare PECOS Information:
- PECOS PAC ID: 4486663713
- Enrollment ID: O20060414000105
Medical Identifiers
Medical identifiers for Dr. Christopher M Larosa Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235253600 | NPI | - | NPPES |
| 480031440 | Other | NJ | RAILDROAD MEDICARE |
| 0829704000 | Other | NJ | AMERIHEALTH |
| 7829108 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | MD002471 (New Jersey) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Dr. Christopher M Larosa Llc acts as a billing entity for following providers:
| Provider Name | Christopher M Larosa |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1457380180
PECOS PAC ID: 8224012158
Enrollment ID: I20040617000023 |
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| Provider Name | Kyle Shaw |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1710410899
PECOS PAC ID: 0446674683
Enrollment ID: I20200722000024 |
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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. Dr. Christopher M Larosa Llc 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 |
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Dr. Christopher M Larosa Llc
146 Lakeview Dr S, Suite 101,
Gibbsboro, NJ 08026-1018
Ph: (856) 435-4002 | Dr. Christopher M Larosa Llc
146 Lakeview Dr S, Suite 101,
Gibbsboro, NJ 08026-1018
Ph: (856) 435-4002 |
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