Dr Jeremiah Emil Larsen, DC is a medicare enrolled "Chiropractor" provider in Volga, South Dakota. His current practice location is
207 Kasan Ave, Volga, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 627-9919.
Dr Jeremiah Emil Larsen is licensed to practice in South Dakota (license number 1144) 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 1689868952.
Healthcare Provider's Profile
| Full Name | Dr Jeremiah Emil Larsen |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 207 Kasan Ave, Volga, South Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1689868952
- Provider Enumeration Date: 08/30/2007
- Last Update Date: 05/27/2009
Medicare PECOS Information:
- PECOS PAC ID: 4082794888
- Enrollment ID: I20090605000123
Medical Identifiers
Medical identifiers for Dr Jeremiah Emil Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1689868952 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 1175 (Montana) | Secondary |
| 111N00000X | Chiropractor | 1144 (South Dakota) | Primary |
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. Dr Jeremiah Emil Larsen allows following entities to bill medicare on his behalf.
| Provider Name | Larsen Chiropractic Of South Dakota |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1083849806
PECOS PAC ID: 7911057963
Enrollment ID: O20090612000052 |
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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. Dr Jeremiah Emil Larsen 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 |
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Dr Jeremiah Emil Larsen, DC
Po Box 19,
Volga, SD 57071-0019
Ph: (605) 627-9919 | Dr Jeremiah Emil Larsen, DC
207 Kasan Ave,
Volga, SD 57071
Ph: (605) 627-9919 |
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