Mr Larry A Waskow, PA-C in Baltimore, MD - Medicare Physician Assistant

Mr Larry A Waskow, PA-C is a medicare enrolled "Physician Assistant" in Baltimore, Maryland. His current practice location is 1838 Greene Tree Rd, Suite 460, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 581-1600.

Mr Larry A Waskow is licensed to practice in Maryland (license number C0000274) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710949003.

Contact Information

	Mr Larry A Waskow, PA-C
	1838 Greene Tree Rd, Suite 460, Baltimore, MD 21208-6391
	(410) 581-1600
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Larry A Waskow
Gender	Male
Speciality	Physician Assistant
Location	1838 Greene Tree Rd, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710949003
Provider Enumeration Date: 04/04/2006
Last Update Date: 05/06/2014

Medicare PECOS Information:

PECOS PAC ID: 3274522792
Enrollment ID: I20040510001318

Medical Identifiers

Medical identifiers for Mr Larry A Waskow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710949003	NPI	-	NPPES
970005850	Other	MD	R/R MEDICARE PROVIDER #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	C0000274 (Maryland)	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. Mr Larry A Waskow 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
Mr Larry A Waskow, PA-C 25 Crossroads Dr, Suite 306, Owings Mills, MD 21117-5421 Ph: (410) 581-1600	Mr Larry A Waskow, PA-C 1838 Greene Tree Rd, Suite 460, Baltimore, MD 21208-6391 Ph: (410) 581-1600

Reviews and Comments

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Mr Larry A Waskow, PA-C - Medicare Physician Assistant in Baltimore, MD