Dr Alexis Christine Larose, DDS is a medicare enrolled "Dentist - General Practice" provider in Coeur D'alene, Idaho. Her current practice location is
1420 Lincoln Way, #200, Coeur D'alene, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 664-8283.
Dr Alexis Christine Larose is licensed to practice in Idaho (license number D-4454) 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 1265728646.
Healthcare Provider's Profile
Full Name | Dr Alexis Christine Larose |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 1420 Lincoln Way, Coeur D'alene, Idaho |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1265728646
- Provider Enumeration Date: 06/23/2011
- Last Update Date: 10/10/2017
Medicare PECOS Information:
- PECOS PAC ID: 9739479510
- Enrollment ID: I20160607001387
Medical Identifiers
Medical identifiers for Dr Alexis Christine Larose such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265728646 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 2459 (Montana) | Secondary |
1223G0001X | Dentist - General Practice | D-4454 (Idaho) | Primary |
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 Alexis Christine 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 |
Dr Alexis Christine Larose, DDS 1420 Lincoln Way, #200, Coeur D'alene, ID 83814 Ph: (208) 664-8283 | Dr Alexis Christine Larose, DDS 1420 Lincoln Way, #200, Coeur D'alene, ID 83814 Ph: (208) 664-8283 |
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