Olivia Mae Larussa, PA-C in Washington, DC - Medicare Physician Assistant

Olivia Mae Larussa, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Washington, District Of Columbia. Her current practice location is 900 23rd St Nw, Washington, District Of Columbia. You can reach out to her office (for appointments etc.) via phone at (202) 741-3000.

Olivia Mae Larussa is licensed to practice in District Of Columbia (license number PA200001702) 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 1023530342.

Contact Information

	Olivia Mae Larussa, PA-C
	900 23rd St Nw, Washington, DC 20037-2342
	(202) 741-3000
	Not Available

Physician's Profile

Full Name	Olivia Mae Larussa
Gender	Female
Speciality	Physician Assistant - Medical
Location	900 23rd St Nw, Washington, District Of Columbia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023530342
Provider Enumeration Date: 07/07/2017
Last Update Date: 11/21/2023

Medicare PECOS Information:

PECOS PAC ID: 7113272006
Enrollment ID: I20180618001382

Medical Identifiers

Medical identifiers for Olivia Mae Larussa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023530342	NPI	-	NPPES
3448PA	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207XX0005X	Orthopaedic Surgery - Sports Medicine	TL2763 (South Carolina)	Secondary
363AS0400X	Physician Assistant - Surgical	2763 (South Carolina)	Secondary
363AM0700X	Physician Assistant - Medical	PA200001702 (District Of Columbia)	Primary

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. Olivia Mae Larussa 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 Address	Practice Location Address
Olivia Mae Larussa, PA-C 3811 Fairfax Dr Ste 1000, Arlington, VA 22203-1782 Ph: (202) 741-3574	Olivia Mae Larussa, PA-C 900 23rd St Nw, Washington, DC 20037-2342 Ph: (202) 741-3000

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Olivia Mae Larussa, PA-C - Medicare Physician Assistant in Washington, DC