Dr Kimberly R Larsen, MS DC RD is a medicare enrolled "Dietitian, Registered" provider in Chandler, Arizona. She went to Life Chiropractic College and graduated in 1999 and has 25 years of diverse experience with area of expertise as Chiropractic. She is a member of the group practice Palm Tree Pllc and her current practice location is
7130 W Chandler Blvd, Ste 19, Chandler, Arizona. You can reach out to her office (for appointments etc.) via phone at
(480) 753-5999.
Dr Kimberly R Larsen is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1790743060.
Healthcare Provider's Profile
| Full Name | Dr Kimberly R Larsen |
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| Gender | Female |
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| Speciality | Chiropractic |
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| Experience | 25 Years |
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| Location | 7130 W Chandler Blvd, Chandler, Arizona |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kimberly R Larsen attended and graduated from Life Chiropractic College in 1999
NPI Data:
- NPI Number: 1790743060
- Provider Enumeration Date: 05/03/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9032022926
- Enrollment ID: I20031106000800
Medical Identifiers
Medical identifiers for Dr Kimberly R Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790743060 | NPI | - | NPPES |
| 7764321 | Other | AZ | AETNA |
| AZ0156830 | Other | AZ | BC/BS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 7109 (Arizona) | Primary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Palm Tree Pllc | 4789748823 | 2 |
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 Kimberly R Larsen allows following entities to bill medicare on her behalf.
| Provider Name | Palm Tree Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1417125915
PECOS PAC ID: 4789748823
Enrollment ID: O20090204000214 |
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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 Kimberly R 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 Kimberly R Larsen, MS DC RD
7130 W Chandler Blvd, Ste 19,
Chandler, AZ 85226-3241
Ph: (480) 753-5999 | Dr Kimberly R Larsen, MS DC RD
7130 W Chandler Blvd, Ste 19,
Chandler, AZ 85226-3241
Ph: (480) 753-5999 |
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