Larry Corrales, in Douglas, AZ - Medicare Counselor Provider

Larry Corrales, is a medicare enrolled "Counselor - Professional" provider in Douglas, Arizona. His current practice location is 936 N F Ave Ste B, Douglas, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 364-3285.

Larry Corrales is licensed to practice in Arizona (license number LPC-20463) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154080125.

Contact Information

	Larry Corrales,
	936 N F Ave Ste B, Douglas, AZ 85607-2024
	(520) 364-3285
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Larry Corrales
Gender	Male
Speciality	Counselor - Professional
Location	936 N F Ave Ste B, Douglas, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154080125
Provider Enumeration Date: 12/16/2021
Last Update Date: 12/16/2021

Medicare PECOS Information:

PECOS PAC ID: 3173067154
Enrollment ID: I20240701003821

Medical Identifiers

Medical identifiers for Larry Corrales such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154080125	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC-20463 (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. Larry Corrales allows following entities to bill medicare on his behalf.

Entity Name	Community Intervention Associates Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518250620 PECOS PAC ID: 4880851971 Enrollment ID: O20120201000213

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. Larry Corrales 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
Larry Corrales, 504 W 29th St, Tucson, AZ 85713-3353 Ph: (520) 838-5600	Larry Corrales, 936 N F Ave Ste B, Douglas, AZ 85607-2024 Ph: (520) 364-3285

Reviews and Comments

Counselor in Douglas, AZ

Mrs. Betty Lynn Spering, LISAC, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1701 N Douglas Ave, Douglas, AZ 85607 Phone: 520-364-1286 Fax: 520-805-1221
Natividad Cano, AGS, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1701 N Douglas Ave, Douglas, AZ 85607 Phone: 520-364-1286 Fax: 520-805-1221
Mr. Carlos G Quijada Sr., MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1701 N Douglas Ave, Douglas, AZ 85607 Phone: 520-366-3133 Fax: 520-364-2770
Ms. Candace Ilene Weingart, MA, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1701 N Douglas Ave, Douglas, AZ 85607 Phone: 520-364-1286 Fax: 520-805-1221
Walter Tucker, MS, LPC, NCC, BHP Counselor Medicare: Medicare Enrolled Practice Location: 2100 E 8th, Douglas, AZ 85607 Phone: 520-266-3304
Ms. Colleen Kay Mattson, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1701 N Douglas Ave, Douglas, AZ 85607 Phone: 520-364-1286 Fax: 520-805-1221

Larry Corrales, - Medicare Counselor in Douglas, AZ