Michael L Larocco, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Boise, Idaho. His current practice location is
6305 W Overland Rd, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 477-1705.
Michael L Larocco is licensed to practice in Idaho (license number 32555) 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 1720319916.
Healthcare Provider's Profile
| Full Name | Michael L Larocco |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 6305 W Overland Rd, Boise, Idaho |
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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: 1720319916
- Provider Enumeration Date: 01/27/2010
- Last Update Date: 06/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 7012190556
- Enrollment ID: I20110322000312
Medical Identifiers
Medical identifiers for Michael L Larocco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720319916 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | LMSW-29802 (Idaho) | Secondary |
| 1041C0700X | Social Worker - Clinical | 32555 (Idaho) | 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. Michael L Larocco allows following entities to bill medicare on his behalf.
| Entity Name | Jx2 Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194962829
PECOS PAC ID: 2163555053
Enrollment ID: O20100728001248 |
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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. Michael L Larocco 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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Michael L Larocco, LCSW
6305 W Overland Rd,
Boise, ID 83709-3029
Ph: (208) 477-1705 | Michael L Larocco, LCSW
6305 W Overland Rd,
Boise, ID 83709-3029
Ph: (208) 477-1705 |
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