Larisa Nadukhovskaya, DO - Medicare Emergency Medicine in San Carlos, CA

Larisa Nadukhovskaya, DO is a medicare enrolled "Emergency Medicine" physician in San Carlos, California. She graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Sutter Bay Medical Foundation and her current practice location is 301 Industrial Rd, San Carlos, California. You can reach out to her office (for appointments etc.) via phone at (650) 596-4100.

Larisa Nadukhovskaya is licensed to practice in California (license number 20A8321) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1962428409.

Contact Information

Larisa Nadukhovskaya, DO
301 Industrial Rd,
San Carlos, CA 94070-2603
(650) 596-4100
Not Available



Physician's Profile

Full NameLarisa Nadukhovskaya
GenderFemale
SpecialityEmergency Medicine
Experience23 Years
Location301 Industrial Rd, San Carlos, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Larisa Nadukhovskaya graduated from medical school in 2001
  NPI Data:
  • NPI Number: 1962428409
  • Provider Enumeration Date: 07/15/2006
  • Last Update Date: 02/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3476516014
  • Enrollment ID: I20041112000857

Medical Identifiers

Medical identifiers for Larisa Nadukhovskaya such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962428409NPI-NPPES
00AX83210MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 20A8321 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sutter Bay Medical Foundation42845387782941

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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. Larisa Nadukhovskaya allows following entities to bill medicare on her behalf.
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023063542
PECOS PAC ID: 6103739131
Enrollment ID: O20031106000520

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Entity NameSutter Bay Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013950807
PECOS PAC ID: 4284538778
Enrollment ID: O20031125000909

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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. Larisa Nadukhovskaya 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
Larisa Nadukhovskaya, DO
325 Distel Cir,
Los Altos, CA 94022-1408

Ph: (650) 596-4100
Larisa Nadukhovskaya, DO
301 Industrial Rd,
San Carlos, CA 94070-2603

Ph: (650) 596-4100

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› Verified 2 days ago


Emergency Medicine Doctors in San Carlos, CA

Dr. Hina Chawla, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 301 Industrial Rd, San Carlos, CA 94070
Phone: 650-596-4100    
Nathan Bornstein, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 301 Industrial Rd, San Carlos, CA 94070
Phone: 650-596-4100    
Dr. Sonya Young Kim, M.D., MBA
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1 Devonshire Blvd Apt 8, San Carlos, CA 94070
Phone: 415-314-1005    Fax: 888-959-8346
Renee Eloise Boeche, D.O.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 301 Industrial Rd, San Carlos, CA 94070
Phone: 650-596-4100    
Dr. Radmila Grin, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 301 Industrial Rd, San Carlos, CA 94070
Phone: 650-596-4100    
Dr. David Michael Andreski, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 301 Industrial Rd, San Carlos, CA 94070
Phone: 650-596-4100    
Ellen G Offermann, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 301 Industrial Rd, San Carlos, CA 94070
Phone: 650-596-4260    

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