JEREMY LARVA PA-C NPI 1003021916

Physician Assistant in Chicago, IL

NPI 1003021916 Individual Male Years of Experience 6 Physician Assistant PECOS Enrolled Accepts Medicare Approved Payment

About JEREMY LARVA

Jeremy Larva is a primary care provider established in Chicago, Illinois and his medical specialization is physician assistant with more than 6 years of experience. The NPI number of Jeremy Larva is 1003021916 and was assigned on May 2007. The practitioner's primary taxonomy code is 363A00000X with license number 085006107 (IL). The provider is registered as an individual and his NPI record was last updated 4 years ago.

A primary care provider (PCP) like Jeremy Larva Pa-c sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Jeremy Larva is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Jeremy Larva is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Northwestern Memorial Hospital and Elmhurst Memorial Hospital.

NPI

1003021916

Provider Name JEREMY LARVA PA-C
Provider Location Address259 E ERIE ST FL 13 CHICAGO, IL 60611
Provider Mailing Address6269 KARL RD COLUMBUS, OH 43229
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2016
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-14-2007
Last Update Date08-03-2017


Primary Taxonomy

Taxonomy Code363A00000X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.085006107
License StateIL
Taxonomy DescriptionA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Business Address

JEREMY LARVA PA-C
259 E ERIE ST FL 13
CHICAGO, IL
ZIP 60611
Phone: (312) 695-6800
Fax: (312) 695-2772

Get Directions


Mailing Address

JEREMY LARVA PA-C
6269 KARL RD
COLUMBUS, OH
ZIP 43229
Phone:



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID5890068746
PECOS Enrollment IDI20170829002034
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jeremy Larva is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
NORTHWESTERN MEMORIAL HOSPITAL251 E HURON ST
CHICAGO, IL 60611
(312) 926-2000Acute Care Hospitals140281
ELMHURST MEMORIAL HOSPITAL155 EAST BRUSH HILL ROAD
ELMHURST, IL 60126
(331) 221-0130Acute Care Hospitals140200

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033369343MR. JOSEPH THOMAS BOUTET PA-C
Individual
Physician Assistant259 E ERIE ST FL 13
CHICAGO, IL 60611
(312) 695-6800
1538560313 BRETT PAINTER
Individual
Physical Therapist259 E ERIE ST FL 13
CHICAGO, IL 60611
(312) 695-6800
1275759789NORTHWESTERN MEDICAL FACULTY FOUNDATION
Organization
Durable Medical Equipment & Medical Supplies259 E ERIE ST FL 13
CHICAGO, IL 60611
(312) 695-6800
1851726004 ELIZABETH G BAZZETTA PA-C
Individual
Physician Assistant (Surgical)259 E ERIE ST FL 13
CHICAGO, IL 60611
(312) 695-6800
1528301439DR. LUCAS THEODORE BUCHLER M.D.
Individual
Orthopaedic Surgery (Sports Medicine)259 E ERIE ST FL 13
CHICAGO, IL 60611
(312) 695-6800
1902456155MS. MARY KATHERINE EILEEN WHELAN PA-C
Individual
Physician Assistant259 E ERIE ST FL 13
CHICAGO, IL 60611
(312) 695-6800
1518368455 ELENI Z POULAKIS DPT
Individual
Physical Therapist259 E ERIE ST FL 13
CHICAGO, IL 60611
(312) 695-6800
1346718491 ALEXA GABRIELLE SMITH PA-C
Individual
Physician Assistant259 E ERIE ST FL 13
CHICAGO, IL 60611
(312) 695-6800
1033183363 MICHAEL D STOVER MD
Individual
Orthopaedic Surgery259 E ERIE ST FL 13
CHICAGO, IL 60611
(312) 695-6800
1902109267 BRETT WASSINK PA-C
Individual
Physician Assistant259 E ERIE ST FL 13
CHICAGO, IL 60611
(312) 695-6800
1427682582 COLLEEN ELIZABETH BECKLER DNP, APRN, AGNP-C
Individual
Nurse Practitioner259 E ERIE ST FL 13
CHICAGO, IL 60611
(312) 695-6800
1861768566 KEVIN NAKMUN SWONG MD
Individual
Neurological Surgery259 E ERIE ST FL 13
CHICAGO, IL 60611
(312) 695-8143
1013446731 KATHERINE S MCCROSSEN
Individual
Physician Assistant259 E ERIE ST FL 13
CHICAGO, IL 60611
(312) 695-6800
1518305457 SRIKANTH N DIVI M.D.
Individual
Orthopaedic Surgery (Orthopaedic Trauma)259 E ERIE ST FL 13
CHICAGO, IL 60611
(312) 695-6800
1316311269 MELISSA LONGMAN
Individual
Physician Assistant259 E ERIE ST FL 13
CHICAGO, IL 60611
(312) 695-6800
1023082328 GUIDO MARRA MD
Individual
Orthopaedic Surgery259 E ERIE ST FL 13
CHICAGO, IL 60611
(312) 695-6800
1235335050 WELLINGTON K HSU MD
Individual
Orthopaedic Surgery259 E ERIE ST FL 13
CHICAGO, IL 60611
(312) 695-6800
1326524729 MARY-KATHERINE SLATTERY
Individual
Physician Assistant259 E ERIE ST FL 13
CHICAGO, IL 60611
(312) 695-6800
1063425361DR. STACEY L OAKS DPM
Individual
Podiatrist (Foot & Ankle Surgery)259 E ERIE ST FL 13
CHICAGO, IL 60611
(312) 695-6800
1326531732DR. CAROLYN MORAN MCINTYRE APN
Individual
Nurse Practitioner (Acute Care)259 E ERIE ST FL 13
CHICAGO, IL 60611
(312) 695-6800

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.