Larissa Cooley, PA-C in Towson, MD - Medicare Physician Assistant

Larissa Cooley, PA-C is a medicare enrolled "Physician Assistant" in Towson, Maryland. Her current practice location is 6701 N Charles St, Towson, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 849-2597.

Larissa Cooley is licensed to practice in Maryland (license number C07339) 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 1093350365.

Contact Information

	Larissa Cooley, PA-C
	6701 N Charles St, Towson, MD 21204-6808
	(443) 849-2597
	Not Available

Provider's Profile

Full Name	Larissa Cooley
Gender	Female
Speciality	Physician Assistant
Location	6701 N Charles St, Towson, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093350365
Provider Enumeration Date: 11/11/2019
Last Update Date: 11/11/2019

Medicare PECOS Information:

PECOS PAC ID: 0345667366
Enrollment ID: I20200904000016

Medical Identifiers

Medical identifiers for Larissa Cooley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093350365	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	C07339 (Maryland)	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. Larissa Cooley 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
Larissa Cooley, PA-C 112 Orchard St, Johnstown, PA 15905-2726 Ph: (814) 659-5675	Larissa Cooley, PA-C 6701 N Charles St, Towson, MD 21204-6808 Ph: (443) 849-2597

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Physician Assistant Nurses in Towson, MD

Gregory D Marchesiello, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8322 Bellona Ave, Suite 100, Towson, MD 21204 Phone: 410-337-7900 Fax: 410-337-5321
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Ms. Rafaelina Martinez, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7601 Osler Dr, Towson, MD 21204 Phone: 410-337-1000
Casey Kennedy Rogers, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 7601 Osler Dr, Towson, MD 21204 Phone: 877-346-2211 Fax: 626-623-1227
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Larissa Cooley, PA-C - Medicare Physician Assistant in Towson, MD