Clarissa Vitalina Reynoso, MD - Medicare Pediatrics in Baton Rouge, LA

Clarissa Vitalina Reynoso, MD is a medicare enrolled "Pediatrics" physician in Baton Rouge, Louisiana. Her current practice location is 8415 Goodwood Blvd Ste 202, Baton Rouge, Louisiana. You can reach out to her office (for appointments etc.) via phone at (225) 765-8013.

Clarissa Vitalina Reynoso is licensed to practice in Louisiana (license number 334001) 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 1669877908.

Contact Information

Clarissa Vitalina Reynoso, MD
8415 Goodwood Blvd Ste 202,
Baton Rouge, LA 70806-7851
(225) 765-8013
(225) 765-2033



Physician's Profile

Full NameClarissa Vitalina Reynoso
GenderFemale
SpecialityPediatrics
Location8415 Goodwood Blvd Ste 202, Baton Rouge, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669877908
  • Provider Enumeration Date: 10/29/2014
  • Last Update Date: 03/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6305216839
  • Enrollment ID: I20221228000557

Medical Identifiers

Medical identifiers for Clarissa Vitalina Reynoso such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669877908NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 334001 (Louisiana)Primary
208000000XPediatrics MD41082 (South Carolina)Secondary

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. Clarissa Vitalina Reynoso allows following entities to bill medicare on her behalf.
Entity NameOur Lady Of The Lake Physician Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033494943
PECOS PAC ID: 4587849781
Enrollment ID: O20120529000377

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› Verified 1 days ago

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. Clarissa Vitalina Reynoso 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 AddressPractice Location Address
Clarissa Vitalina Reynoso, MD
5959 S Sherwood Forest Blvd,
Baton Rouge, LA 70816-6038

Ph: (225) 765-8013
Clarissa Vitalina Reynoso, MD
8415 Goodwood Blvd Ste 202,
Baton Rouge, LA 70806-7851

Ph: (225) 765-8013

News Archive

FDA approves human embryonic stem cells clinical trial for spinal cord injury treatment

Emerging Healthcare Solutions, Inc.: Last week, the US Food and Drug Administration gave their highly-anticipated approval for the first clinical trial using human embryonic stem cells (hESCs), which are the type of cells that can develop into all tissues of the body. Geron Corporation of Menlo Park, California, received the green light from the US FDA to use cells derived from hESCs to treat people with acute spinal cord injuries. Ten people will receive injections into the injury site of hESC-derived oligodendrocyte progenitor cells, which stimulate the growth of new and severed nerves and recoat damaged nerves with myelin. The hope is that the injections will help people recover function lost through injury, as seen in rodent studies in 2005.

Porvair Sciences launches new ChIP-Seq library preparation kit

Porvair Sciences announces the launch of UniqSeq - a new ChIP-Seq library preparation kit. High-quality library preparation is key to a successful ChIP-Seq experiment. Obtaining complex libraries with good coverage and low bias are just some of the features that depend on high-quality DNA after performing ChIP assays.

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Strong alkaline substances can damage teeth

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Read more News

› Verified 1 days ago


Pediatrics Doctors in Baton Rouge, LA

Manish Gope Raisingani,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 8200 Constantin Blvd Fl 4, Baton Rouge, LA 70809
Phone: 225-765-5500    Fax: 225-765-1733
Dr. Daniel Gregg Sloven, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 8200 Constantin Blvd Fl 4, Baton Rouge, LA 70809
Phone: 225-765-5500    Fax: 225-765-2054
Traci T. Lacy, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 7373 Perkins Rd, Baton Rouge, LA 70808
Phone: 225-769-4044    
Dr. Michelle L Flechas, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 12525 Perkins Rd, Suite C, Baton Rouge, LA 70810
Phone: 225-769-2003    Fax: 225-767-3055
Dr. Richard Francis Lasseigne Jr., MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 8300 Constantin Blvd, Baton Rouge, LA 70809
Phone: 225-374-1410    Fax: 225-374-1616
Dr. Horace Jay Collinsworth, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 8415 Goodwood Blvd, Suite 100, Baton Rouge, LA 70806
Phone: 225-765-5633    Fax: 225-765-5634
Myriam Aracelis Ortiz-de Jesus', MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 11424 Sullivan Rd, Suite B1, Baton Rouge, LA 70818
Phone: 225-761-5200    

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