Haydee Larralde Blanca, MD is a medicare enrolled "Pediatrics" physician in Washington Terrace, Utah. Her current practice location is
5285 S 400 E, Suite A, Washington Terrace, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 393-5355.
Haydee Larralde Blanca is licensed to practice in Utah (license number 7374163-1205) 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 1871760371.
Physician's Profile
Full Name | Haydee Larralde Blanca |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 5285 S 400 E, Washington Terrace, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1871760371
- Provider Enumeration Date: 05/13/2008
- Last Update Date: 11/30/2011
Medicare PECOS Information:
- PECOS PAC ID: 9335427475
- Enrollment ID: I20161025001885
Medical Identifiers
Medical identifiers for Haydee Larralde Blanca such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871760371 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 7374163-1205 (Utah) | 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. Haydee Larralde Blanca allows following entities to bill medicare on her behalf.
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
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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. Haydee Larralde Blanca 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 |
Haydee Larralde Blanca, MD 2240 Adams Ave, Ogden, UT 84401-1511 Ph: (801) 393-5355 | Haydee Larralde Blanca, MD 5285 S 400 E, Suite A, Washington Terrace, UT 84405-7194 Ph: (801) 393-5355 |
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