Mr Matthew Wayne Larsen, RDN, CDE in Kalispell, MT - Medicare Dietitian, Registered Provider

Mr Matthew Wayne Larsen, RDN, CDE is a medicare enrolled "Dietitian, Registered" provider in Kalispell, Montana. His current practice location is 210 Sunnyview Ln Ste 103, Kalispell, Montana. You can reach out to his office (for appointments etc.) via phone at (406) 257-3872.

Mr Matthew Wayne Larsen is licensed to practice in Montana (license number 59321) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184953739.

Contact Information

	Mr Matthew Wayne Larsen, RDN, CDE
	210 Sunnyview Ln Ste 103, Kalispell, MT 59901
	(406) 257-3872
	(406) 758-7077

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Matthew Wayne Larsen
Gender	Male
Speciality	Dietitian, Registered
Location	210 Sunnyview Ln Ste 103, Kalispell, Montana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184953739
Provider Enumeration Date: 12/10/2009
Last Update Date: 03/19/2024

Medicare PECOS Information:

PECOS PAC ID: 5496888729
Enrollment ID: I20180914001987

Medical Identifiers

Medical identifiers for Mr Matthew Wayne Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184953739	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	(* (Not Available))	Secondary
133V00000X	Dietitian, Registered	59321 (Montana)	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. Mr Matthew Wayne Larsen allows following entities to bill medicare on his behalf.

Provider Name	Kalispell Regional Medical Center Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1235333139 PECOS PAC ID: 5294644381 Enrollment ID: O20031122000142

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. Mr Matthew Wayne 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
Mr Matthew Wayne Larsen, RDN, CDE 210 Sunnyview Ln Ste 103, Kalispell, MT 59901-3128 Ph: (406) 257-3872	Mr Matthew Wayne Larsen, RDN, CDE 210 Sunnyview Ln Ste 103, Kalispell, MT 59901 Ph: (406) 257-3872

Reviews and Comments

Dietitian, Registered in Kalispell, MT

Jennifer Beazer, RDN LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 202 Conway Dr Ste 200, Kalispell, MT 59901 Phone: 406-751-4188
Sarah Elijah Scherer, RD, LN, MBA, OLY Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11 Vanderbilt Dr, Kalispell, MT 59901 Phone: 720-593-9839
Elizabeth Hemingway, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 1287 Burns Way, Kalispell, MT 59901 Phone: 406-752-8120
Ashley Ann Dunn, R.D. Dietitian Medicare: Medicare Enrolled Practice Location: 202 Conway Dr Ste 200, Kalispell, MT 59901 Phone: 844-215-7969 Fax: 406-758-7080
Laura June Richey, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 310 Sunnyview Ln, Kalispell, MT 59901 Phone: 406-858-8092
Grace Caplan, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 160 Heritage Way, Suite 102, Kalispell, MT 59901 Phone: 406-751-5454

Mr Matthew Wayne Larsen, RDN, CDE - Medicare Dietitian in Kalispell, MT