Mr Kurt Dominick Larose, LCSW, LICSW in Perryville, MO - Medicare Clinical Social Worker Provider

Mr Kurt Dominick Larose, LCSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Perryville, Missouri. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Mercy Clinic Adult Psychiatry Llc and his current practice location is 12 N Kings Hwy Ste 101, Perryville, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 547-3116.

Mr Kurt Dominick Larose is licensed to practice in Missouri (license number 2020023042) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023221967.

Contact Information

	Mr Kurt Dominick Larose, LCSW, LICSW
	12 N Kings Hwy Ste 101, Perryville, MO 63775-1367
	(573) 547-3116
	(573) 547-2963

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kurt Dominick Larose
Gender	Male
Speciality	Clinical Social Worker
Experience	21 Years
Location	12 N Kings Hwy Ste 101, Perryville, Missouri
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Kurt Dominick Larose graduated from medical school in 2003

NPI Data:

NPI Number: 1023221967
Provider Enumeration Date: 05/07/2007
Last Update Date: 02/24/2022

Medicare PECOS Information:

PECOS PAC ID: 8325180540
Enrollment ID: I20200819003267

Medical Identifiers

Medical identifiers for Mr Kurt Dominick Larose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023221967	NPI	-	NPPES
12243893	Other	FL	CAQH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW9297 (Florida)	Secondary
1041C0700X	Social Worker - Clinical	LC50081569 (District Of Columbia)	Secondary
1041C0700X	Social Worker - Clinical	2020023042 (Missouri)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Clinic Adult Psychiatry Llc	4688998602	19

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. Mr Kurt Dominick Larose allows following entities to bill medicare on his behalf.

Entity Name	Mercy Clinic Adult Psychiatry Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750788972 PECOS PAC ID: 4688998602 Enrollment ID: O20150122002258

Entity Name	Mercy Hospital Perry
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063117158 PECOS PAC ID: 1153777826 Enrollment ID: O20231101001515

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. Mr Kurt Dominick Larose 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
Mr Kurt Dominick Larose, LCSW, LICSW 12 N Kingshighway St Ste 101, Perryville, MO 63775-1367 Ph: (850) 545-2886	Mr Kurt Dominick Larose, LCSW, LICSW 12 N Kings Hwy Ste 101, Perryville, MO 63775-1367 Ph: (573) 547-3116

Reviews and Comments

Social Worker in Perryville, MO

Cindy Blacklidge, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 114 West South Street, Perryville, MO 63775 Phone: 573-513-2918
Nicole Campbell, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 12 N Kingshighway St Ste 101, Perryville, MO 63775 Phone: 573-547-3116
Michelle R. Perez, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12 N Kingshighway St Ste 101, Perryville, MO 63775 Phone: 573-547-3116
Mrs. Sherry Ann Goshen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12 N Kings Hwy, Perryville, MO 63775 Phone: 573-547-3116
Mrs. Nicola Wissler, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12 N Kingshighway St Ste 101, Perryville, MO 63775 Phone: 573-547-3116
James Morris, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 406 N Spring St Ste 2, Perryville, MO 63775 Phone: 573-547-8305 Fax: 573-547-8306

Mr Kurt Dominick Larose, LCSW, LICSW - Medicare Clinical Social Worker in Perryville, MO