Kenneth B Larson, PA - Medicare Physician Assistant in Safford, AZ

Kenneth B Larson, PA is a medicare enrolled "Physician Assistant" in Safford, Arizona. His current practice location is 1600 S 20th Ave, Safford, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 348-4021.

Kenneth B Larson is licensed to practice in Arizona (license number 1090) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043379829.

Contact Information

Kenneth B Larson, PA
1600 S 20th Ave,
Safford, AZ 85546-4011
(928) 348-4021
Not Available



Provider's Profile

Full NameKenneth B Larson
GenderMale
SpecialityPhysician Assistant
Location1600 S 20th Ave, Safford, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043379829
  • Provider Enumeration Date: 12/07/2006
  • Last Update Date: 02/21/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 9931362522
  • Enrollment ID: I20120517000574

Medical Identifiers

Medical identifiers for Kenneth B Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043379829NPI-NPPES
184841MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 1090 (Arizona)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. Kenneth B Larson 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
Kenneth B Larson, PA
2250 W 16th St,
Safford, AZ 85546-4081

Ph: (928) 428-1947
Kenneth B Larson, PA
1600 S 20th Ave,
Safford, AZ 85546-4011

Ph: (928) 348-4021

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Physician Assistant Nurses in Safford, AZ

Andrew White, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1600 S 20th Ave, Safford, AZ 85546
Phone: 928-348-4000    
Ms. Sarah Dawn Wilson, P. A. C.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1300 S 20th Ave, Safford, AZ 85546
Phone: 928-428-3122    Fax: 928-428-7493
Mr. Randy Spencer Hann, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1600 S 20th Ave, Safford, AZ 85546
Phone: 480-201-6814    
Michael Evans, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2016 W 16th St, Safford, AZ 85546
Phone: 928-428-1377    Fax: 928-348-8570
Mr. Cole Alan Bryce, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2270 W. 16th St., Safford, AZ 85546
Phone: 928-348-3703    Fax: 928-348-3705
Mr. Toby Marshall Underwood, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 896 S Cook Rd, Safford, AZ 85546
Phone: 928-428-4698    

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