Kristin Larson, LICSW is a medicare enrolled "Social Worker" provider in Vancouver, Washington. Her current practice location is
717 Ne 61st St Ste 202, Vancouver, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 306-2369.
Kristin Larson is licensed to practice in Washington (license number LW60892105) 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 1568931780.
Healthcare Provider's Profile
Full Name | Kristin Larson |
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Gender | Female |
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Speciality | Social Worker |
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Location | 717 Ne 61st St Ste 202, Vancouver, Washington |
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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: 1568931780
- Provider Enumeration Date: 11/16/2018
- Last Update Date: 11/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 1850786336
- Enrollment ID: I20220319000175
Medical Identifiers
Medical identifiers for Kristin Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568931780 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
104100000X | Social Worker | LW60892105 (Washington) | 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. Kristin Larson allows following entities to bill medicare on her behalf.
Entity Name | Kaiser Foundation Health Plan Of Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
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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. Kristin 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 |
Kristin Larson, LICSW Po Box 1533, 454 N 1st St, Kalama, WA 98625 Ph: (509) 306-2369 | Kristin Larson, LICSW 717 Ne 61st St Ste 202, Vancouver, WA 98665-8756 Ph: (509) 306-2369 |
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