Dr Lisa Dang Larose, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Jb Andrews, Maryland. She went to Uniformed Services Uhs Fe Hebert School Of Med and graduated in 2011 and has 13 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Direct Radiology Pllc, Enloe Medical Center and her current practice location is
1060 W Perimeter Rd, Jb Andrews, Maryland. You can reach out to her office (for appointments etc.) via phone at
(240) 612-2020.
Dr Lisa Dang Larose is licensed to practice in Virginia (license number 0101254304) 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 1285933838.
Physician's Profile
Full Name | Dr Lisa Dang Larose |
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Gender | Female |
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Speciality | Diagnostic Radiology |
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Experience | 13 Years |
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Location | 1060 W Perimeter Rd, Jb Andrews, Maryland |
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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 Lisa Dang Larose attended and graduated from Uniformed Services Uhs Fe Hebert School Of Med in 2011
NPI Data:
- NPI Number: 1285933838
- Provider Enumeration Date: 03/22/2011
- Last Update Date: 08/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 5193047025
- Enrollment ID: I20210924002362
Medical Identifiers
Medical identifiers for Dr Lisa Dang Larose such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285933838 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 0101254304 (Virginia) | Secondary |
208D00000X | General Practice | 0101254304 (Virginia) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 0101254304 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Direct Radiology Pllc | 9436396165 | 33 |
Enloe Medical Center | 9739092388 | 295 |
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 Lisa Dang Larose allows following entities to bill medicare on her behalf.
Entity Name | Direct Radiology Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144572173 PECOS PAC ID: 9436396165 Enrollment ID: O20150604000406 |
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Entity Name | South Florida Medical Imaging Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518945575 PECOS PAC ID: 7618869900 Enrollment ID: O20180320003264 |
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Entity Name | Enloe Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477975613 PECOS PAC ID: 9739092388 Enrollment ID: O20181024001108 |
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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 Lisa Dang Larose 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 Lisa Dang Larose, MD Malcolm Grow Medical Clinics And Surgery Center, 1060 W. Perimeter Rd, Jb Andrews, MD 20762 Ph: (240) 612-2020 | Dr Lisa Dang Larose, MD 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 Ph: (240) 612-2020 |
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