Dr Larissa Sophia Dudley, MD in Newark, NJ - Medicare Emergency Medicine

Dr Larissa Sophia Dudley, MD is a medicare enrolled "Emergency Medicine" physician in Newark, New Jersey. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Brevard Physician Associates Pllc and her current practice location is 201 Lyons Ave, Suite D11, Newark, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 926-6671.

Dr Larissa Sophia Dudley is licensed to practice in Florida (license number ME131434) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003251422.

Contact Information

	Dr Larissa Sophia Dudley, MD
	201 Lyons Ave, Suite D11, Newark, NJ 07112-2027
	(973) 926-6671
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Larissa Sophia Dudley
Gender	Female
Speciality	Emergency Medicine
Experience	11 Years
Location	201 Lyons Ave, Newark, New Jersey
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Larissa Sophia Dudley graduated from medical school in 2013

NPI Data:

NPI Number: 1003251422
Provider Enumeration Date: 04/30/2013
Last Update Date: 07/02/2024

Medicare PECOS Information:

PECOS PAC ID: 0042519852
Enrollment ID: I20171214001428

Medical Identifiers

Medical identifiers for Dr Larissa Sophia Dudley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003251422	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	ME131434 (Florida)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Holmes Regional Medical Center	Melbourne, FL	Hospital
Palm Bay Hospital	Palm bay, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Brevard Physician Associates Pllc	1850535048	197

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 Sophia Dudley allows following entities to bill medicare on her behalf.

Entity Name	Brevard Physician Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598008955 PECOS PAC ID: 1850535048 Enrollment ID: O20130909000619

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 Sophia Dudley 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 Sophia Dudley, MD 2627 W Eau Gallie Blvd Ste 101, Melbourne, FL 32935-8303 Ph: () -	Dr Larissa Sophia Dudley, MD 201 Lyons Ave, Suite D11, Newark, NJ 07112-2027 Ph: (973) 926-6671

Reviews and Comments

Emergency Medicine Doctors in Newark, NJ

Dr. Charles Fleischner, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Bergen St, Admc 1110, Newark, NJ 07107 Phone: 973-972-9261
Allen Judah Srulowitz, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 268 Dr Martin Luther King Jr Blvd, Newark, NJ 07102 Phone: 973-877-5500
Dr. Christopher Delmaestro, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-6671
Albert David Della Fave, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 150 Bergen St, Rutgers University Hospital Emergency Dept., Newark, NJ 07103 Phone: 973-972-5123
Brian Joseph Kenny, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 150 Bergen St, Newark, NJ 07103 Phone: 862-241-5729
Dr. Pidok Thepmankorn, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 495 N 13th St, Newark, NJ 07107 Phone: 973-268-1400

Dr Larissa Sophia Dudley, MD - Medicare Emergency Medicine in Newark, NJ