Dr Larissa Nicole Tenzycki, DC is a medicare enrolled "Chiropractor" provider in Valparaiso, Florida. Her current practice location is
127 N John Sims Pkwy Ste B, Valparaiso, Florida. You can reach out to her office (for appointments etc.) via phone at
(850) 696-0363.
Dr Larissa Nicole Tenzycki is licensed to practice in Florida (license number CH 8824) 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 1093769788.
Healthcare Provider's Profile
| Full Name | Dr Larissa Nicole Tenzycki |
|---|
| Gender | Female |
|---|
| Speciality | Chiropractor |
|---|
| Location | 127 N John Sims Pkwy Ste B, Valparaiso, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1093769788
- Provider Enumeration Date: 05/19/2006
- Last Update Date: 02/19/2020
Medicare PECOS Information:
- PECOS PAC ID: 1355354101
- Enrollment ID: I20060720000104
Medical Identifiers
Medical identifiers for Dr Larissa Nicole Tenzycki such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093769788 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | CH 8824 (Florida) | 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 Nicole Tenzycki allows following entities to bill medicare on her behalf.
| Provider Name | Growing Green Families Pllc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1518590546
PECOS PAC ID: 2163804642
Enrollment ID: O20220729002907 |
|---|
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 Nicole Tenzycki 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 |
|---|
Dr Larissa Nicole Tenzycki, DC
127 N John Sims Pkwy Ste B,
Valparaiso, FL 32580-1005
Ph: (850) 696-0363 | Dr Larissa Nicole Tenzycki, DC
127 N John Sims Pkwy Ste B,
Valparaiso, FL 32580-1005
Ph: (850) 696-0363 |
Reviews and Comments