Dr Kimberly Destefano Larsen, MD in White Plains, MD

Dr Kimberly Destefano Larsen, MD is a medicare enrolled "Family Medicine" physician in White Plains, Maryland. Her current practice location is 4225 Altamont Pl Ste 201, White Plains, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 607-1500.

Dr Kimberly Destefano Larsen is licensed to practice in Maryland (license number D51722) 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 1265480347.

Contact Information

	Dr Kimberly Destefano Larsen, MD
	4225 Altamont Pl Ste 201, White Plains, MD 20695-3065
	(240) 607-1500
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kimberly Destefano Larsen
Gender	Female
Speciality	Family Medicine
Location	4225 Altamont Pl Ste 201, White Plains, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265480347
Provider Enumeration Date: 05/04/2006
Last Update Date: 05/21/2018

Medicare PECOS Information:

PECOS PAC ID: 6901083096
Enrollment ID: I20191216001168

Medical Identifiers

Medical identifiers for Dr Kimberly Destefano Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265480347	NPI	-	NPPES
5619003	Other		BCBS FEDERAL
123200560	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	D51722 (Maryland)	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 Kimberly Destefano Larsen 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 Kimberly Destefano Larsen, MD 9910 Franklin Square Dr Ste 2110, Baltimore, MD 21236-4902 Ph: (410) 933-5412	Dr Kimberly Destefano Larsen, MD 4225 Altamont Pl Ste 201, White Plains, MD 20695-3065 Ph: (240) 607-1500

Reviews and Comments

Family Medicine Doctors in White Plains, MD

Dr. Craig Arthur Jeschke, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4225 Altamont Place, Suite 201, White Plains, MD 20695 Phone: 240-607-1500 Fax: 240-607-1510
Dr. Lorie F Cram, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4225 Altamont Pl, Suite 201, White Plains, MD 20695 Phone: 240-607-1500 Fax: 410-367-2215
Ms. Zakiya Steadman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4225 Altamont Pl, White Plains, MD 20695 Phone: 240-607-1500
Dr. Kamakshi Baig, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4255 Altamont Pl Ste 203, White Plains, MD 20695 Phone: 301-638-9505 Fax: 301-705-8831
Dr. Tanika Lasien Day, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4225 Altamont Pl Ste 201, White Plains, MD 20695 Phone: 240-607-1500 Fax: 240-607-1510

Dr Kimberly Destefano Larsen, MD - Medicare Family Medicine in White Plains, MD