Larissa Gabriela Rodriguez-homs, MD is a medicare enrolled "Dermatology" physician in Smithville, Texas. Her current practice location is
1501 Dorothy Nichols Ln Unit B, Smithville, Texas. You can reach out to her office (for appointments etc.) via phone at
(737) 727-7546.
Larissa Gabriela Rodriguez-homs is licensed to practice in Texas (license number V1876) 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 1528696804.
Physician's Profile
| Full Name | Larissa Gabriela Rodriguez-homs |
|---|
| Gender | Female |
|---|
| Speciality | Dermatology |
|---|
| Location | 1501 Dorothy Nichols Ln Unit B, Smithville, Texas |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1528696804
- Provider Enumeration Date: 03/31/2020
- Last Update Date: 07/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 6103362843
- Enrollment ID: I20240718001674
Medical Identifiers
Medical identifiers for Larissa Gabriela Rodriguez-homs such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528696804 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | V1876 (Texas) | 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. Larissa Gabriela Rodriguez-homs allows following entities to bill medicare on her behalf.
| Entity Name | Austin Skin Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1598302721
PECOS PAC ID: 7113352766
Enrollment ID: O20200109000168 |
|---|
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. Larissa Gabriela Rodriguez-homs 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 |
|---|
Larissa Gabriela Rodriguez-homs, MD
1413 Green Forest Dr # 1,
Austin, TX 78745-1863
Ph: (832) 577-7593 | Larissa Gabriela Rodriguez-homs, MD
1501 Dorothy Nichols Ln Unit B,
Smithville, TX 78957-1738
Ph: (737) 727-7546 |
Reviews and Comments