Larissa Wiedmer, is a
Occupational Therapist based in Boonville, New York. Larissa Wiedmer is licensed to practice in * (Not Available) (license number ) and her current practice location is
8027 Kolosa Rd, Boonville, New York. She can be reached at her office (for appointments etc.) via phone at
(315) 709-1058.
NPI number for Larissa Wiedmer is 1134954811 and her current mailing address is 8027 Kolosa Rd, Boonville, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134954811.
Healthcare Provider's Profile
| Full Name | Larissa Wiedmer |
|---|
| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 8027 Kolosa Rd, Boonville, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1134954811
- Provider Enumeration Date: 09/03/2024
- Last Update Date: 09/03/2024
Medical Identifiers
Medical identifiers for Larissa Wiedmer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134954811 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | 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. Larissa Wiedmer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Larissa Wiedmer,
8027 Kolosa Rd,
Boonville, NY 13309-4105
Ph: (315) 709-1058 | Larissa Wiedmer,
8027 Kolosa Rd,
Boonville, NY 13309-4105
Ph: (315) 709-1058 |
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