Ms Shannon Jean Larsen, CADC II is a
Case Manager/care Coordinator based in Medford, Oregon. Ms Shannon Jean Larsen is licensed to practice in * (Not Available) (license number ) and her current practice location is
140 South Holly Street, Medford, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 774-8200.
NPI number for Ms Shannon Jean Larsen is 1710235650 and her current mailing address is 140 South Holly Street, Medford, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710235650.
Healthcare Provider's Profile
| Full Name | Ms Shannon Jean Larsen |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 140 South Holly Street, Medford, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1710235650
- Provider Enumeration Date: 08/27/2012
- Last Update Date: 12/12/2014
Medical Identifiers
Medical identifiers for Ms Shannon Jean Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710235650 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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. Ms Shannon Jean Larsen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Shannon Jean Larsen, CADC II
140 South Holly Street,
Medford, OR 97501
Ph: (541) 774-8200 | Ms Shannon Jean Larsen, CADC II
140 South Holly Street,
Medford, OR 97501
Ph: (541) 774-8200 |
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