Larissa Woolston, is a medicare enrolled "Chiropractor" provider in Scottsdale, Arizona. Her current practice location is
9832 N Hayden Rd, Ste 207, Scottsdale, Arizona. You can reach out to her office (for appointments etc.) via phone at
(480) 556-6797.
Larissa Woolston is licensed to practice in Arizona (license number 5973) 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 1023318078.
Healthcare Provider's Profile
| Full Name | Larissa Woolston |
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| Gender | Female |
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| Speciality | Chiropractor |
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| Location | 9832 N Hayden Rd, Scottsdale, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1023318078
- Provider Enumeration Date: 10/25/2010
- Last Update Date: 08/25/2016
Medicare PECOS Information:
- PECOS PAC ID: 2769471713
- Enrollment ID: I20040506001123
Medical Identifiers
Medical identifiers for Larissa Woolston such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023318078 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TS0200X | Psychologist - School | 4059688 (Arizona) | Secondary |
| 111N00000X | Chiropractor | 5973 (Arizona) | 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. Larissa Woolston allows following entities to bill medicare on her behalf.
| Entity Name | Woolston Wellness Center Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316129968
PECOS PAC ID: 0941299580
Enrollment ID: O20040510000663 |
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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. Larissa Woolston 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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Larissa Woolston,
9832 N Hayden Rd, Ste 207,
Scottsdale, AZ 85258-1235
Ph: (480) 556-6797 | Larissa Woolston,
9832 N Hayden Rd, Ste 207,
Scottsdale, AZ 85258-1235
Ph: (480) 556-6797 |
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