Dr Laurence Richard Alavezos, MD is a medicare enrolled "Family Medicine" physician in Covelo, California. His current practice location is
Highway 162 & Biggar Lane, Covelo, California. You can reach out to his office (for appointments etc.) via phone at
(707) 983-6404.
Dr Laurence Richard Alavezos is licensed to practice in California (license number C40575) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306067327.
Physician's Profile
| Full Name | Dr Laurence Richard Alavezos |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | Highway 162 & Biggar Lane, Covelo, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1306067327
- Provider Enumeration Date: 05/01/2007
- Last Update Date: 03/15/2016
Medicare PECOS Information:
- PECOS PAC ID: 6204862790
- Enrollment ID: I20050715000669
Medical Identifiers
Medical identifiers for Dr Laurence Richard Alavezos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306067327 | NPI | - | NPPES |
| THP11697F | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | C40575 (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 Laurence Richard Alavezos allows following entities to bill medicare on his behalf.
| Entity Name | Round Valley Indian Health Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669532750
PECOS PAC ID: 9234128927
Enrollment ID: O20040507001316 |
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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 Laurence Richard Alavezos 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 |
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Dr Laurence Richard Alavezos, MD
Po Box 247,
Covelo, CA 95428-0247
Ph: (707) 983-6181 | Dr Laurence Richard Alavezos, MD
Highway 162 & Biggar Lane,
Covelo, CA 95428-0247
Ph: (707) 983-6404 |
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