Jill M Larson, BS is a medicare enrolled "Social Worker - Clinical" provider in Preston, Connecticut. Her current practice location is
124 Route 2a, Preston, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(612) 232-8367.
Jill M Larson is licensed to practice in Connecticut (license number 009138) 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 1336422708.
Healthcare Provider's Profile
Full Name | Jill M Larson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 124 Route 2a, Preston, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1336422708
- Provider Enumeration Date: 09/22/2011
- Last Update Date: 11/09/2015
Medicare PECOS Information:
- PECOS PAC ID: 9032484167
- Enrollment ID: I20220627000454
Medical Identifiers
Medical identifiers for Jill M Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336422708 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 009138 (Connecticut) | Primary |
1041C0700X | Social Worker - Clinical | 18215 (Maryland) | Secondary |
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. Jill M Larson allows following entities to bill medicare on her behalf.
Entity Name | Thrive Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20200924001878 |
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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. Jill M 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 |
Jill M Larson, BS 124 Route 2a, Preston, CT 06365-8537 Ph: (612) 232-8367 | Jill M Larson, BS 124 Route 2a, Preston, CT 06365-8537 Ph: (612) 232-8367 |
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