Larisa Klots Do Inc is a medicare enrolled primary clinic (Family Medicine) in E Brunswick, New Jersey. The current practice location for Larisa Klots Do Inc is B3 Brier Hill Ct, E Brunswick, New Jersey. For appointments, you can reach them via phone at
(732) 254-1114. The mailing address for Larisa Klots Do Inc is 11 Buffalo Run, E Brunswick, New Jersey and phone number is (732) 254-1114.
Larisa Klots Do Inc is licensed to practice in New Jersey (license number MB71358). The clinic also participates in the medicare program and its
NPI number is 1649379181. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(732) 254-1114.
Primary Care Clinic Profile
| Full Name | Larisa Klots Do Inc |
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| Speciality | Family Medicine |
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| Location | B3 Brier Hill Ct, E Brunswick, New Jersey |
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| Authorized Official Name and Position | Larisa Klots (PRESIDENT) |
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| Authorized Official Contact | 7322578442 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Larisa Klots Do Inc
11 Buffalo Run
E Brunswick
NJ 08816-4078
Ph: (732) 254-1114 | Larisa Klots Do Inc
B3 Brier Hill Ct
E Brunswick
NJ 08816-3330
Ph: (732) 254-1114 |
NPI Details:
| NPI Number | 1649379181 |
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| Provider Enumeration Date | 09/21/2006 |
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| Last Update Date | 09/06/2013 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 5092760330 |
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| Medicare Enrollment ID | O20050318000675 |
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Medical Identifiers
Medical identifiers for Larisa Klots Do Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649379181 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | MB71358 (New Jersey) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Larisa Klots Do Inc acts as a billing entity for following providers:
| Provider Name | Larisa Klots |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1053361550
PECOS PAC ID: 0446248868
Enrollment ID: I20040504001424 |
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