Dr Lara Mamikonian, MD in Norfolk, VA

Dr Lara Mamikonian, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Norfolk, Virginia. Her current practice location is 601 Children's Lane, Children's Hospital Of The King's Daughters, Norfolk, Virginia. You can reach out to her office (for appointments etc.) via phone at (585) 905-9377.

Dr Lara Mamikonian is licensed to practice in Virginia (license number 0101251975) 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 1154337954.

Contact Information

	Dr Lara Mamikonian, MD
	601 Children's Lane, Children's Hospital Of The King's Daughters, Norfolk, VA 23502
	(585) 905-9377
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Lara Mamikonian
Gender	Female
Speciality	Pediatrics - Pediatric Critical Care Medicine
Location	601 Children's Lane, Norfolk, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154337954
Provider Enumeration Date: 08/01/2006
Last Update Date: 10/28/2019

Medicare PECOS Information:

PECOS PAC ID: 7618126020
Enrollment ID: I20120928000401

Medical Identifiers

Medical identifiers for Dr Lara Mamikonian such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154337954	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	0101251975 (Virginia)	Primary
207L00000X	Anesthesiology	0101251975 (Virginia)	Secondary
208000000X	Pediatrics	2009-00675 (North Carolina)	Secondary

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. Dr Lara Mamikonian allows following entities to bill medicare on her behalf.

Entity Name	Childrens Specialty Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255354130 PECOS PAC ID: 5890788764 Enrollment ID: O20040406001195

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 Lara Mamikonian 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 Lara Mamikonian, MD 601 Children's Lane, Children's Hospital Of The King's Daughters, Norfolk, VA 23502 Ph: (585) 905-9377	Dr Lara Mamikonian, MD 601 Children's Lane, Children's Hospital Of The King's Daughters, Norfolk, VA 23502 Ph: (585) 905-9377

Reviews and Comments

Pediatrics Doctors in Norfolk, VA

Joshua Wayne Gollub, Pediatrics Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7000
Stephen C. Restaino, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7179 Fax: 757-668-9810
Michael Lee Smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7456 Fax: 757-668-9255
Phyllis R. Hope, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7456 Fax: 757-668-9255
Linda D Pegram, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7007 Fax: 757-668-8658
Ernette Yvonne Benson-foulk, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6345 Center Dr, Building 14, Norfolk, VA 23502 Phone: 757-461-4027 Fax: 757-461-8821
Dr. Phuongkhanh Huy Cromwell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 804-695-0305

Dr Lara Mamikonian, MD - Medicare Pediatrics in Norfolk, VA