Larysa Tarashevska Wickman, MD - Medicare Pediatrics in Ann Arbor, MI

Larysa Tarashevska Wickman, MD is a medicare enrolled "Pediatrics - Pediatric Nephrology" physician in Ann Arbor, Michigan. Her current practice location is 1500 E Medical Center Dr, 1st Floor Taubman Center Recp D, Ann Arbor, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 936-4210.

Larysa Tarashevska Wickman is licensed to practice in Michigan (license number 4301089772) 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 1063603082.

Contact Information

Larysa Tarashevska Wickman, MD
1500 E Medical Center Dr, 1st Floor Taubman Center Recp D,
Ann Arbor, MI 48109-5318
(734) 936-4210
Not Available



Physician's Profile

Full NameLarysa Tarashevska Wickman
GenderFemale
SpecialityPediatrics - Pediatric Nephrology
Location1500 E Medical Center Dr, Ann Arbor, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063603082
  • Provider Enumeration Date: 08/06/2007
  • Last Update Date: 10/20/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2264627827
  • Enrollment ID: I20101109001479

Medical Identifiers

Medical identifiers for Larysa Tarashevska Wickman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063603082NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 4301089772 (Michigan)Secondary
2080P0210XPediatrics - Pediatric Nephrology 4301089772 (Michigan)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. Larysa Tarashevska Wickman allows following entities to bill medicare on her behalf.
Entity NameBeaumont Medical Group- Specialty Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578072906
PECOS PAC ID: 7214299866
Enrollment ID: O20180320002549

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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. Larysa Tarashevska Wickman 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
Larysa Tarashevska Wickman, MD
3621 S State St, 700 Kms Place,
Ann Arbor, MI 48108

Ph: (734) 936-2047
Larysa Tarashevska Wickman, MD
1500 E Medical Center Dr, 1st Floor Taubman Center Recp D,
Ann Arbor, MI 48109-5318

Ph: (734) 936-4210

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A Wayne State University interdisciplinary research team in the Eugene Applebaum College of Pharmacy and Health Sciences has made a surprising discovery: older, more mature motorists - who typically are better drivers in many circumstances - are much worse than their younger counterparts when texting while driving.

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Gulf Coast Spine Care has been helping its patients treat their pain for many years, and recently the company has announced that they will be enacing a series of the latest neck pain treatments to better meet the needs of its patients.

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Pediatrics Doctors in Ann Arbor, MI

Dr. Michael Edmund Watson, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109
Phone: 734-936-4000    
Joanna Van Beek, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1500 E Medical Center Dr, D3238 Mpb Spc 5718, Ann Arbor, MI 48109
Phone: 734-763-5589    Fax: 734-763-4208
Ashleigh Grund El Sakr, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4900 Jackson Rd Ste A, Ann Arbor, MI 48103
Phone: 734-998-7380    
Jennifer Rose Blase, MD, PH.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109
Phone: 734-936-4000    
Vishvanie Bernadene Stoody, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109
Phone: 734-936-4000    
Maysa Hamade, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109
Phone: 734-936-4000    
Dr. Alejandro Velez Lopez, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109
Phone: 734-936-4000    

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