Dr Larissa Anne Grace, MD in Pomona, CA - Medicare Psychiatry & Neurology

Dr Larissa Anne Grace, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Pomona, California. Her current practice location is 1900 Royalty Dr Ste 180, Pomona, California. You can reach out to her office (for appointments etc.) via phone at (909) 784-3200.

Dr Larissa Anne Grace is licensed to practice in California (license number A116676) 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 1366671596.

Contact Information

	Dr Larissa Anne Grace, MD
	1900 Royalty Dr Ste 180, Pomona, CA 91767-3046
	(909) 784-3200
	(909) 865-0730

Map and Direction

Physician's Profile

Full Name	Dr Larissa Anne Grace
Gender	Female
Speciality	Psychiatry & Neurology - Child & Adolescent Psychiatry
Location	1900 Royalty Dr Ste 180, Pomona, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366671596
Provider Enumeration Date: 07/09/2009
Last Update Date: 09/29/2015

Medicare PECOS Information:

PECOS PAC ID: 6901025121
Enrollment ID: I20140919000915

Medical Identifiers

Medical identifiers for Dr Larissa Anne Grace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366671596	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	A116676 (California)	Secondary
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	A116676 (California)	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 Larissa Anne Grace allows following entities to bill medicare on her behalf.

Entity Name	Tri-city Mental Health Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346304920 PECOS PAC ID: 6002710506 Enrollment ID: O20031125000952

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 Larissa Anne Grace 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 Larissa Anne Grace, MD 1900 Royalty Dr Ste 180, Pomona, CA 91767-3046 Ph: (909) 784-3200	Dr Larissa Anne Grace, MD 1900 Royalty Dr Ste 180, Pomona, CA 91767-3046 Ph: (909) 784-3200

Reviews and Comments

Psychiatry & Neurology Doctors in Pomona, CA

Dr. Carlos A Muralles, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2008 N Garey Ave, Pomona, CA 91767 Phone: 909-623-6131
Charoskhon Turabova, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2895 N Towne Ave, Pomona, CA 91767 Phone: 909-982-2719
Dr. Jonson J Lin, M.D., D.C. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2008 N Garey Ave, Pomona, CA 91767 Phone: 909-623-6131 Fax: 909-865-9281
Dr. Heather Miller Kurera, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 831 E Arrow Hwy, Pomona, CA 91767 Phone: 909-398-4383 Fax: 909-398-0127
Dr. Carlos A Pieroni, M.D Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2008 N Garey Ave, Pomona, CA 91767 Phone: 909-623-6131
Dr. Mark Williams, M.D Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2008 N Garey Ave, Pomona, CA 91767 Phone: 909-623-6131
Dr. Michael Hany Salib, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 2008 N Garey Ave, Pomona, CA 91767 Phone: 909-623-6131

Dr Larissa Anne Grace, MD - Medicare Psychiatry & Neurology in Pomona, CA