Larissa Isterabadi, MD is a medicare enrolled "Pediatrics" physician in Laguna Beach, California. Her current practice location is
31862 Coast Hwy, Suite 106, Laguna Beach, California. You can reach out to her office (for appointments etc.) via phone at
(949) 499-5111.
Larissa Isterabadi is licensed to practice in California (license number A84267) 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 1821125543.
Physician's Profile
| Full Name | Larissa Isterabadi |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 31862 Coast Hwy, Laguna Beach, 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: 1821125543
- Provider Enumeration Date: 02/28/2007
- Last Update Date: 11/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 2466719935
- Enrollment ID: I20171208001484
Medical Identifiers
Medical identifiers for Larissa Isterabadi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821125543 | NPI | - | NPPES |
| 00A563950 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | A84267 (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. Larissa Isterabadi allows following entities to bill medicare on her behalf.
| Entity Name | Providence Medical Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346 |
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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. Larissa Isterabadi 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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Larissa Isterabadi, MD
31862 Coast Hwy, Suite 106,
Laguna Beach, CA 92651-6769
Ph: (949) 499-5111 | Larissa Isterabadi, MD
31862 Coast Hwy, Suite 106,
Laguna Beach, CA 92651-6769
Ph: (949) 499-5111 |
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