Mr Larry Lagatiana, MBBS - Medicare Otolaryngology in Pago Pago, AS

Mr Larry Lagatiana, MBBS is a medicare enrolled "Otolaryngology" physician in Pago Pago, American Samoa. His current practice location is Po Box Lbj, Pago Pago, American Samoa. You can reach out to his office (for appointments etc.) via phone at (684) 633-1222.

Mr Larry Lagatiana is licensed to practice in American Samoa (license number 4045-C) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1871040535.

Contact Information

Mr Larry Lagatiana, MBBS
Po Box Lbj,
Pago Pago, AS 96799-0010
(684) 633-1222
(684) 633-2893



Physician's Profile

Full NameMr Larry Lagatiana
GenderMale
SpecialityOtolaryngology
LocationPo Box Lbj, Pago Pago, American Samoa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871040535
  • Provider Enumeration Date: 09/09/2016
  • Last Update Date: 09/09/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 0244682342
  • Enrollment ID: I20240113000003

Medical Identifiers

Medical identifiers for Mr Larry Lagatiana such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871040535NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 4045-C (American Samoa)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. Mr Larry Lagatiana allows following entities to bill medicare on his behalf.
Entity NameAmerican Samoa Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043085681
PECOS PAC ID: 4385545870
Enrollment ID: O20240102002464

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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. Mr Larry Lagatiana 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
Mr Larry Lagatiana, MBBS
Po Box Lbj,
Pago Pago, AS 96799-0010

Ph: (684) 633-1222
Mr Larry Lagatiana, MBBS
Po Box Lbj,
Pago Pago, AS 96799-0010

Ph: (684) 633-1222

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Otolaryngology Doctors in Pago Pago, AS

Ms. Hong Su, MBBS. ENT DIPLOMA
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 96799 Turner Drive, Pago Pago, AS 96799
Phone: 684-633-1222    Fax: 684-633-2893
Winifredo Salazar Tiangco, MD
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 11155 Turner Drive, Pago Pago, AS 96799
Phone: 684-633-1222    

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