Larisa V Kovaleva, NP in Saint Louis, MO - Medicare Nurse Practitioner

Larisa V Kovaleva, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Saint Louis, Missouri. Her current practice location is 1201 S Grand Blvd, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 257-8222.

Larisa V Kovaleva is licensed to practice in Missouri (license number 2021016885) 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 1194455204.

Contact Information

	Larisa V Kovaleva, NP
	1201 S Grand Blvd, Saint Louis, MO 63104-1016
	(314) 257-8222
	Not Available

Map and Direction

Provider's Profile

Full Name	Larisa V Kovaleva
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	1201 S Grand Blvd, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194455204
Provider Enumeration Date: 06/13/2022
Last Update Date: 06/13/2022

Medicare PECOS Information:

PECOS PAC ID: 9830572106
Enrollment ID: I20220818002747

Medical Identifiers

Medical identifiers for Larisa V Kovaleva such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194455204	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	2021016885 (Missouri)	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. Larisa V Kovaleva allows following entities to bill medicare on her behalf.

Entity Name	Ssm Health Care Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655

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. Larisa V Kovaleva 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
Larisa V Kovaleva, NP 13601 Riverway Dr Apt B, Chesterfield, MO 63017-2678 Ph: (314) 238-6730	Larisa V Kovaleva, NP 1201 S Grand Blvd, Saint Louis, MO 63104-1016 Ph: (314) 257-8222

Reviews and Comments

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Larisa V Kovaleva, NP - Medicare Nurse Practitioner in Saint Louis, MO