Tucker Lloyd Larsen, PA-C is a medicare enrolled "Physician Assistant" provider in Plummer, Idaho. He went to University Of Washington School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Benewah Medical Center and his current practice location is
427 N 12th St., Plummer, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 686-1931.
Tucker Lloyd Larsen is licensed to practice in Idaho (license number PA-1457) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245671379.
Healthcare Provider's Profile
| Full Name | Tucker Lloyd Larsen |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 8 Years |
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| Location | 427 N 12th St., Plummer, Idaho |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tucker Lloyd Larsen attended and graduated from University Of Washington School Of Medicine in 2016
NPI Data:
- NPI Number: 1245671379
- Provider Enumeration Date: 07/17/2013
- Last Update Date: 12/08/2016
Medicare PECOS Information:
- PECOS PAC ID: 5496037020
- Enrollment ID: I20170116000629
Medical Identifiers
Medical identifiers for Tucker Lloyd Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245671379 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | PA-1457 (Idaho) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Benewah Medical Center | 6709878622 | 19 |
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. Tucker Lloyd 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 |
|---|
Tucker Lloyd Larsen, PA-C
Po Box 388,
Plummer, ID 83851-0388
Ph: (208) 686-1931 | Tucker Lloyd Larsen, PA-C
427 N 12th St.,
Plummer, ID 83851
Ph: (208) 686-1931 |
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