Larissa M Hancock, RD/LD in Tahlequah, OK - Medicare Dietitian, Registered Provider

Larissa M Hancock, RD/LD is a medicare enrolled "Dietitian, Registered" provider in Tahlequah, Oklahoma. Her current practice location is 100 S Bliss Ave, Tahlequah, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 772-4702.

Larissa M Hancock is licensed to practice in Oklahoma (license number 1905) 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 1790024800.

Contact Information

	Larissa M Hancock, RD/LD
	100 S Bliss Ave, Tahlequah, OK 74464-2512
	(918) 772-4702
	(918) 458-3464

Map and Direction

Healthcare Provider's Profile

Full Name	Larissa M Hancock
Gender	Female
Speciality	Dietitian, Registered
Location	100 S Bliss Ave, Tahlequah, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790024800
Provider Enumeration Date: 02/08/2013
Last Update Date: 04/12/2016

Medicare PECOS Information:

PECOS PAC ID: 9133367758
Enrollment ID: I20130521000292

Medical Identifiers

Medical identifiers for Larissa M Hancock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790024800	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	1905 (Oklahoma)	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. Larissa M Hancock allows following entities to bill medicare on her behalf.

Provider Name	Cherokee Nation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628

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. Larissa M Hancock 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
Larissa M Hancock, RD/LD 100 S Bliss Ave, Tahlequah, OK 74464-2512 Ph: (918) 772-4702	Larissa M Hancock, RD/LD 100 S Bliss Ave, Tahlequah, OK 74464-2512 Ph: (918) 772-4702

Reviews and Comments

Dietitian, Registered in Tahlequah, OK

Tori Geasland, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1321 W Red Oak St, Tahlequah, OK 74464 Phone: 918-457-9849
Sarah Hope Fitzgerald, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3880 Highland Dr, Tahlequah, OK 74464 Phone: 985-290-8611
Ms. Lavon Sue Lewis, L.D.R.D. Dietitian Medicare: Medicare Enrolled Practice Location: 712 Janet St, Tahlequah, OK 74464 Phone: 918-456-6230 Fax: 918-456-6230
Mrs. Tonya Rae Swim, RD Dietitian Medicare: Medicare Enrolled Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3180
Tera Beth Windham, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100
Elizabeth Jo Havard, RDN, LD Dietitian Medicare: Medicare Enrolled Practice Location: 19600 E Ross St, Tahlequah, OK 74464 Phone: 539-234-1000
April Dirteater, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2061 Mahaney Ave, Tahlequah, OK 74464 Phone: 918-207-5087

Larissa M Hancock, RD/LD - Medicare Dietitian in Tahlequah, OK