Dr Lisa Kimberly Largo-marsh, PHD is a medicare enrolled "Psychologist - Clinical" provider in Richland, Michigan. She graduated from medical school in 1996 and has 30 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
8799 Gull Road, Suite 1, Richland, Michigan. You can reach out to her office (for appointments etc.) via phone at
(269) 629-2207.
Dr Lisa Kimberly Largo-marsh is licensed to practice in Michigan (license number 6301008181) 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 1023003340.
Healthcare Provider's Profile
| Full Name | Dr Lisa Kimberly Largo-marsh |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 30 Years |
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| Location | 8799 Gull Road, Richland, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Lisa Kimberly Largo-marsh graduated from medical school in 1996
NPI Data:
- NPI Number: 1023003340
- Provider Enumeration Date: 09/13/2005
- Last Update Date: 08/01/2010
Medicare PECOS Information:
- PECOS PAC ID: 5799675138
- Enrollment ID: I20040318000677
Medical Identifiers
Medical identifiers for Dr Lisa Kimberly Largo-marsh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023003340 | NPI | - | NPPES |
| 680C960810 | Other | MI | BCBS OF MICHIGAN |
| 21170586108 | Other | MI | BEECH STREET CORPORATION |
| 1148122 | Other | MI | VALUE OPTIONS |
| 114812 | Other | MI | VALUE OPTIONS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 6301008181 (Michigan) | 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 Lisa Kimberly Largo-marsh allows following entities to bill medicare on her behalf.
| Entity Name | Richland Psychology, PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760872568
PECOS PAC ID: 8325348055
Enrollment ID: O20151201002332 |
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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 Lisa Kimberly Largo-marsh 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 Lisa Kimberly Largo-marsh, PHD
8799 Gull Rd, Suite 1,
Richland, MI 49083-9100
Ph: (269) 629-2207 | Dr Lisa Kimberly Largo-marsh, PHD
8799 Gull Road, Suite 1,
Richland, MI 49083
Ph: (269) 629-2207 |
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