Mrs Kathleen Larson, PA-C in Garrison, ND - Medicare Physician Assistant

Mrs Kathleen Larson, PA-C is a medicare enrolled "Physician Assistant - Medical" in Garrison, North Dakota. Her current practice location is 437 3rd Ave Se, Garrison, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 463-2245.

Mrs Kathleen Larson is licensed to practice in North Dakota (license number PAC0139) 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 1912987843.

Contact Information

	Mrs Kathleen Larson, PA-C
	437 3rd Ave Se, Garrison, ND 58540-7235
	(701) 463-2245
	(701) 463-6543

Provider's Profile

Full Name	Mrs Kathleen Larson
Gender	Female
Speciality	Physician Assistant - Medical
Location	437 3rd Ave Se, Garrison, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912987843
Provider Enumeration Date: 01/18/2006
Last Update Date: 10/10/2007

Medicare PECOS Information:

PECOS PAC ID: 9335338557
Enrollment ID: I20200817003015

Medical Identifiers

Medical identifiers for Mrs Kathleen Larson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912987843	NPI	-	NPPES
13123	Other	ND	BLUE CROSS/BLUE SHIELD
13077	Medicaid	ND

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PAC0139 (North Dakota)	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. Mrs Kathleen 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 Address	Practice Location Address
Mrs Kathleen Larson, PA-C Po Box 9, Garrison, ND 58540-0009 Ph: (701) 463-2245	Mrs Kathleen Larson, PA-C 437 3rd Ave Se, Garrison, ND 58540-7235 Ph: (701) 463-2245

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Physician Assistant Nurses in Garrison, ND

Arthur J Renner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 437 3rd Ave Se, Garrison, ND 58540 Phone: 701-463-2245 Fax: 701-463-6543
Luanna Graeber, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 437 3rd Ave Se, Garrison, ND 58540 Phone: 701-463-2245 Fax: 701-463-6543

Mrs Kathleen Larson, PA-C - Medicare Physician Assistant in Garrison, ND