Larissa Lais Bevacqua, OTR/L in Silver Spring, MD - Medicare Occupational Therapist Provider

Larissa Lais Bevacqua, OTR/L is a medicare enrolled "Occupational Therapist" provider in Silver Spring, Maryland. Her current practice location is 12501 Prosperity Dr, Silver Spring, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 777-2000.

Larissa Lais Bevacqua is licensed to practice in Maryland (license number 09336) 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 1396419859.

Contact Information

	Larissa Lais Bevacqua, OTR/L
	12501 Prosperity Dr, Silver Spring, MD 20904-1689
	(301) 777-2000
	(301) 241-0124

Map and Direction

Healthcare Provider's Profile

Full Name	Larissa Lais Bevacqua
Gender	Female
Speciality	Occupational Therapist
Location	12501 Prosperity Dr, Silver Spring, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396419859
Provider Enumeration Date: 08/06/2021
Last Update Date: 08/06/2021

Medicare PECOS Information:

PECOS PAC ID: 5395141337
Enrollment ID: I20210831001145

Medical Identifiers

Medical identifiers for Larissa Lais Bevacqua such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396419859	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	09336 (Maryland)	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 Lais Bevacqua allows following entities to bill medicare on her behalf.

Provider Name	Dmv Home Therapy Opco Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1699237560 PECOS PAC ID: 7517200751 Enrollment ID: O20190510000447

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 Lais Bevacqua 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 Lais Bevacqua, OTR/L 12501 Prosperity Dr, Silver Spring, MD 20904-1689 Ph: (301) 777-2000	Larissa Lais Bevacqua, OTR/L 12501 Prosperity Dr, Silver Spring, MD 20904-1689 Ph: (301) 777-2000

Reviews and Comments

Occupational Therapist in Silver Spring, MD

Susan R Tieche, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2900 Linden Ln Ste 110, Silver Spring, MD 20910 Phone: 240-462-1444
Michal Merkin, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1208 N Belgrade Rd, Silver Spring, MD 20902 Phone: 301-928-2407
Amber Simmons, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3701 International Dr, Silver Spring, MD 20906 Phone: 301-438-3023
Emily Couture, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12520 Prosperity Dr, Silver Spring, MD 20904 Phone: 301-869-7505
Faye Mathieu, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3227 Bel Pre Rd, Silver Spring, MD 20906 Phone: 301-871-2000
Caroline Ngueko, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1000 Daleview Dr, Silver Spring, MD 20901 Phone: 404-319-0522
Sarah Chao, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10720 Columbia Pike, Silver Spring, MD 20901 Phone: 240-863-2532

Larissa Lais Bevacqua, OTR/L - Medicare Occupational Therapist in Silver Spring, MD