Mrs Brandy Leeann Larson, DDS in Cass Lake, MN

Mrs Brandy Leeann Larson, DDS is a medicare enrolled "Dentist" provider in Cass Lake, Minnesota. Her current practice location is 425 7th St Nw, Cass Lake Indian Hospital, Cass Lake, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 335-3234.

Mrs Brandy Leeann Larson is licensed to practice in Minnesota (license number D12356) 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 1750450227.

Contact Information

	Mrs Brandy Leeann Larson, DDS
	425 7th St Nw, Cass Lake Indian Hospital, Cass Lake, MN 56633-3360
	(218) 335-3234
	(218) 335-3368

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Brandy Leeann Larson
Gender	Female
Speciality	Dentist
Location	425 7th St Nw, Cass Lake, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750450227
Provider Enumeration Date: 11/07/2006
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 1052628591
Enrollment ID: I20160509000218

Medical Identifiers

Medical identifiers for Mrs Brandy Leeann Larson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750450227	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	D12356 (Minnesota)	Primary
1223G0001X	Dentist - General Practice	(Michigan)	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. Mrs Brandy Leeann Larson allows following entities to bill medicare on her behalf.

Entity Name	Department Of Health & Human Services Phs Ihs
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194754382 PECOS PAC ID: 7517879794 Enrollment ID: O20031105000353

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 Brandy Leeann 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 Brandy Leeann Larson, DDS 3522 Quincy Dr Sw, Bemidji, MN 56601 Ph: (218) 335-3234	Mrs Brandy Leeann Larson, DDS 425 7th St Nw, Cass Lake Indian Hospital, Cass Lake, MN 56633-3360 Ph: (218) 335-3234

Reviews and Comments

Dentist in Cass Lake, MN

Dr. Jadilyn Nguyen Grittner, DDS Dentist Medicare: Medicare Enrolled Practice Location: 425 7th St Nw, Cass Lake, MN 56633 Phone: 218-335-3414 Fax: 218-335-3368
Mark A Ellis, DDS Dentist Medicare: Medicare Enrolled Practice Location: 425 7th St Nw, Cass Lake, MN 56633 Phone: 218-335-3230
Dr. Frances Anne Olson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 425 7th St Nw, Cass Lake Ihs Hospital, Cass Lake, MN 56633 Phone: 218-335-3230 Fax: 218-335-3368
Dr. John Phillip Gonzales, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 425 7th St Nw, Cass Lake, MN 56633 Phone: 218-335-3230
Dr. Robert Mork, DDS Dentist Medicare: Medicare Enrolled Practice Location: 425 7th St Nw, Cass Lake, MN 56633 Phone: 218-335-3200
Laura Stewart, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 425 7th St Nw, Cass Lake, MN 56633 Phone: 218-335-3200

Mrs Brandy Leeann Larson, DDS - Medicare Dentist in Cass Lake, MN