Tara R Larson, CRNA in Fargo, ND - Medicare Certified Registered Nurse Anesthetist (crna)

Tara R Larson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fargo, North Dakota. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Innovis Health Llc and her current practice location is 3000 32nd Ave S, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 364-8000.

Tara R Larson is licensed to practice in North Dakota (license number R37536) 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 1184914160.

Contact Information

	Tara R Larson, CRNA
	3000 32nd Ave S, Fargo, ND 58103-6132
	(701) 364-8000
	(701) 364-8078

Provider's Profile

Full Name	Tara R Larson
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	13 Years
Location	3000 32nd Ave S, Fargo, North Dakota
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:

Tara R Larson graduated from nursing school in 2011

NPI Data:

NPI Number: 1184914160
Provider Enumeration Date: 04/12/2011
Last Update Date: 07/26/2012

Medicare PECOS Information:

PECOS PAC ID: 8426234501
Enrollment ID: I20120629000009

Medical Identifiers

Medical identifiers for Tara R Larson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184914160	NPI	-	NPPES
16895	Medicaid	ND

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	AA113010 (Maine)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	R37536 (North Dakota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Essentia Health	Fargo, ND	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Innovis Health Llc	9931298155	473

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tara R Larson allows following entities to bill medicare on her behalf.

Entity Name	Innovis Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215125463 PECOS PAC ID: 9931298155 Enrollment ID: O20071211000158

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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. Tara R 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
Tara R Larson, CRNA Po Box 6001, Fargo, ND 58108-6001 Ph: (701) 364-8000	Tara R Larson, CRNA 3000 32nd Ave S, Fargo, ND 58103-6132 Ph: (701) 364-8000

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Nurse Anesthetist, Certified Registered Nurses in Fargo, ND

Ashley Heule, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-371-7635
Julie Honeyman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-6355
Todd D Underdahl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 737 Broadway, Fargo, ND 58122 Phone: 701-234-6258 Fax: 701-234-7334
Katie C Busker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 737 Broadway, Fargo, ND 58122 Phone: 701-234-6258
Jordan Idso, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2868
Lindsey K Holter, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575
Joshua Keith Maliske, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2000

Tara R Larson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Fargo, ND

Contact Information

Provider's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medical Facilities Affiliation

Group Practice Association

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Medicare Reassignments

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Nurse Anesthetist, Certified Registered Nurses in Fargo, ND