Dominique Larosa, BA in Plainville, CT - Medicare Counselor Provider

Dominique Larosa, BA is a medicare enrolled "Counselor - Mental Health" provider in Plainville, Connecticut. Her current practice location is 73 East St, Plainville, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 335-2960.

Dominique Larosa is licensed to practice in * (Not Available) (license number ) 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 1831610211.

Contact Information

	Dominique Larosa, BA
	73 East St, Plainville, CT 06062-2341
	(860) 335-2960
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dominique Larosa
Gender	Female
Speciality	Counselor - Mental Health
Location	73 East St, Plainville, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831610211
Provider Enumeration Date: 07/06/2017
Last Update Date: 07/06/2017

Medicare PECOS Information:

PECOS PAC ID: 5092257907
Enrollment ID: I20240606003639

Medical Identifiers

Medical identifiers for Dominique Larosa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831610211	NPI	-	NPPES
97054599605	Other		CONNECTICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Dominique Larosa allows following entities to bill medicare on her behalf.

Entity Name	Wheeler Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396750840 PECOS PAC ID: 0345147153 Enrollment ID: O20031218000218

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. Dominique Larosa 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
Dominique Larosa, BA 73 East St, Plainville, CT 06062-2341 Ph: () -	Dominique Larosa, BA 73 East St, Plainville, CT 06062-2341 Ph: (860) 335-2960

Reviews and Comments

Counselor in Plainville, CT

Jonathan Codraro, M.S Counselor Medicare: Medicare Enrolled Practice Location: 74 East St, Plainville, CT 06062 Phone: 860-466-9646
Mr. Lewis Alan Slotnick, M.S. LADC ICADC SAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 74 East St, Plainville, CT 06062 Phone: 800-522-3271
Ciyauah Lashawn Daniels, Counselor Medicare: Not Enrolled in Medicare Practice Location: 74 East St, Plainville, CT 06062 Phone: 860-793-4200
Julia Zarovny, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 91 Northwest Dr, Plainville, CT 06062 Phone: 860-793-3500
Mr. Viktor A Gonzalez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 91 Northwest Dr, Plainville, CT 06062 Phone: 860-793-3500
Stacey Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 91 Northwest Dr, Plainville, CT 06062 Phone: 860-223-8885
Marquis Carlos Marquez, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 91 Northwest Dr, Plainville, CT 06062 Phone: 860-793-3500

Dominique Larosa, BA - Medicare Counselor in Plainville, CT