Larisa Diffley, in Charleston, SC - Medicare

Larisa Diffley, is a medicare enrolled "Physician Assistant" in Charleston, South Carolina. Her current practice location is 171 Ashley Ave, Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 792-1414.

Larisa Diffley is licensed to practice in South Carolina (license number 2200) 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 1023401890.

Contact Information

	Larisa Diffley,
	171 Ashley Ave, Charleston, SC 29425-8908
	(843) 792-1414
	Not Available

Provider's Profile

Full Name	Larisa Diffley
Gender	Female
Speciality
Experience	Years
Location	171 Ashley Ave, Charleston, South Carolina
Accepts Medicare Assignments	Yes. 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 Diffley attended and graduated from in

NPI Data:

NPI Number: 1023401890
Provider Enumeration Date: 03/18/2015
Last Update Date: 03/18/2015

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Larisa Diffley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023401890	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	2200 (South Carolina)	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. Larisa Diffley 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
Larisa Diffley, Po Box 751461, Charlotte, NC 28275-1461 Ph: (843) 792-6200	Larisa Diffley, 171 Ashley Ave, Charleston, SC 29425-8908 Ph: (843) 792-1414

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Physician Assistant Nurses in Charleston, SC

Amy Lynn Canino, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 316 Calhoun St, Charleston, SC 29401 Phone: 843-402-1638 Fax: 843-724-2455
Elizabeth Poindexter, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Maria Dahl, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2225 Ashley River Rd Apt 378, Charleston, SC 29414 Phone: 704-661-4464
Matthew K Ewald, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Meredith Barb Bauerband, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2180 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 865-647-5800 Fax: 865-647-5979
Jessica Marie Greenwood, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 641 Saint Andrews Blvd, Charleston, SC 29407 Phone: 843-766-9747
Taryn Bentler, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 135 Rutledge Ave, Charleston, SC 29425 Phone: 843-792-3531

Larisa Diffley, - Medicare in Charleston, SC