Olivia Mae Larussa, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Washington, District Of Columbia. Her current practice location is
900 23rd St Nw, Washington, District Of Columbia. You can reach out to her office (for appointments etc.) via phone at
(202) 741-3000.
Olivia Mae Larussa is licensed to practice in District Of Columbia (license number PA200001702) 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 1023530342.
Physician's Profile
Full Name | Olivia Mae Larussa |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 900 23rd St Nw, Washington, District Of Columbia |
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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: 1023530342
- Provider Enumeration Date: 07/07/2017
- Last Update Date: 11/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 7113272006
- Enrollment ID: I20180618001382
Medical Identifiers
Medical identifiers for Olivia Mae Larussa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023530342 | NPI | - | NPPES |
3448PA | Medicaid | SC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207XX0005X | Orthopaedic Surgery - Sports Medicine | TL2763 (South Carolina) | Secondary |
363AS0400X | Physician Assistant - Surgical | 2763 (South Carolina) | Secondary |
363AM0700X | Physician Assistant - Medical | PA200001702 (District Of Columbia) | Primary |
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. Olivia Mae Larussa 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 |
Olivia Mae Larussa, PA-C 3811 Fairfax Dr Ste 1000, Arlington, VA 22203-1782 Ph: (202) 741-3574 | Olivia Mae Larussa, PA-C 900 23rd St Nw, Washington, DC 20037-2342 Ph: (202) 741-3000 |
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