Dr Larisa I Allakhverdova, MD in Michigan City, IN

Dr Larisa I Allakhverdova, MD is a medicare enrolled "Emergency Medicine" physician in Michigan City, Indiana. Her current practice location is 1225 E Coolspring Ave, Michigan City, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 873-2919.

Dr Larisa I Allakhverdova is licensed to practice in Indiana (license number 01057834A) 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 1144219023.

Contact Information

	Dr Larisa I Allakhverdova, MD
	1225 E Coolspring Ave, Michigan City, IN 46360-6312
	(219) 873-2919
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Larisa I Allakhverdova
Gender	Female
Speciality	Emergency Medicine
Location	1225 E Coolspring Ave, Michigan City, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144219023
Provider Enumeration Date: 10/13/2005
Last Update Date: 03/27/2018

Medicare PECOS Information:

PECOS PAC ID: 5092796920
Enrollment ID: I20040526001619

Medical Identifiers

Medical identifiers for Dr Larisa I Allakhverdova such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144219023	NPI	-	NPPES
P01186413	Other	KY	MEDICARE RAILROAD
02844177	Medicaid	NY
200805060	Medicaid	IN
M47140293	Other	IN	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	228819 (New York)	Secondary
207P00000X	Emergency Medicine	01057834A (Indiana)	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. Dr Larisa I Allakhverdova allows following entities to bill medicare on her behalf.

Entity Name	United Medical Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013972801 PECOS PAC ID: 0345144978 Enrollment ID: O20031125000020

Entity Name	Optum Urgent Care Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285975797 PECOS PAC ID: 8628299518 Enrollment ID: O20141017000598

Entity Name	Wajeeh Sana Physician Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700643830 PECOS PAC ID: 3577901081 Enrollment ID: O20240403001518

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 Larisa I Allakhverdova 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 Larisa I Allakhverdova, MD 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698	Dr Larisa I Allakhverdova, MD 1225 E Coolspring Ave, Michigan City, IN 46360-6312 Ph: (219) 873-2919

Reviews and Comments

Emergency Medicine Doctors in Michigan City, IN

Dr. Michael Owolabi, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4111 Franklin St, Michigan City, IN 46360 Phone: 219-873-2919
Willie F Stewart, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 W Homer St, Michigan City, IN 46360 Phone: 219-879-8511
Dr. David Maldonado, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1225 E Coolspring Ave Ste 2d, Michigan City, IN 46360 Phone: 219-878-5037 Fax: 219-873-2903
Jacqueline Henderson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 W Homer St, Michigan City, IN 46360 Phone: 219-879-8511
June Barco Brown, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 W Homer St, Michigan City, IN 46360 Phone: 219-879-8511
Dr. Michael W Westfall, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3500 Franciscan Way, Michigan City, IN 46360 Phone: 219-879-8511

Dr Larisa I Allakhverdova, MD - Medicare Emergency Medicine in Michigan City, IN