Mrs Jennifer Kathryn Larson, MA in Blaine, MN - Medicare Marriage & Family Therapist Provider

Mrs Jennifer Kathryn Larson, MA is a medicare enrolled "Marriage & Family Therapist" provider in Blaine, Minnesota. Her current practice location is 4255 Pheasant Ridge Dr Ne Ste 412, Blaine, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 703-3754.

Mrs Jennifer Kathryn Larson is licensed to practice in * (Not Available) (license number ) 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 1144702622.

Contact Information

	Mrs Jennifer Kathryn Larson, MA
	4255 Pheasant Ridge Dr Ne Ste 412, Blaine, MN 55449-5066
	(763) 703-3754
	(372) 703-3725

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jennifer Kathryn Larson
Gender	Female
Speciality	Marriage & Family Therapist
Location	4255 Pheasant Ridge Dr Ne Ste 412, Blaine, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144702622
Provider Enumeration Date: 08/31/2018
Last Update Date: 08/31/2018

Medicare PECOS Information:

PECOS PAC ID: 3870027840
Enrollment ID: I20241113002569

Medical Identifiers

Medical identifiers for Mrs Jennifer Kathryn Larson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144702622	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	(* (Not Available))	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. Mrs Jennifer Kathryn Larson allows following entities to bill medicare on her behalf.

Entity Name	Hope Rising
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295292753 PECOS PAC ID: 1658805627 Enrollment ID: O20241113002246

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. Mrs Jennifer Kathryn 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
Mrs Jennifer Kathryn Larson, MA 4255 Pheasant Ridge Dr Ne Ste 412, Blaine, MN 55449-5066 Ph: (763) 703-3754	Mrs Jennifer Kathryn Larson, MA 4255 Pheasant Ridge Dr Ne Ste 412, Blaine, MN 55449-5066 Ph: (763) 703-3754

Reviews and Comments

Marriage & Family Therapist in Blaine, MN

Stephanie Keeffe Rossing, L.M.F.T. Couples Therapy Medicare: Medicare Enrolled Practice Location: 12760 Aberdeen St Ne, Suite 205, Blaine, MN 55449 Phone: 763-286-4257 Fax: 763-432-7424
Breanna Michelle Hoffman, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 4255 Pheasant Ridge Dr Ne Ste 412, Blaine, MN 55449 Phone: 763-703-3755 Fax: 763-703-3725
Amy Joy Senapatiratne, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4255 Pheasant Ridge Dr Ne Ste 412, Blaine, MN 55449 Phone: 763-742-2526
Ms. Robin Y Peternell, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 11800 Aberdeen St Ne Ste 100, Blaine, MN 55449 Phone: 763-270-0054
Dr. Marie Lynn Anderson, PSYD, LP, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12760 Aberdeen St Ne, Suite 212, Blaine, MN 55449 Phone: 651-600-2727 Fax: 612-656-3031
Samantha J Zaid, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9140 Baltimore St Ne, Suite 140, Office 1406, Blaine, MN 55449 Phone: 651-356-0107

Mrs Jennifer Kathryn Larson, MA - Medicare Couples Therapy in Blaine, MN