Philip Robert Larson, RDN in Tahlequah, OK - Medicare Dietitian, Registered Provider

Philip Robert Larson, RDN is a medicare enrolled "Dietitian, Registered" provider in Tahlequah, Oklahoma. His current practice location is 19600 E Ross St # 4014, Tahlequah, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (534) 234-4114.

Philip Robert Larson is licensed to practice in Oklahoma (license number 2697) 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 1568116309.

Contact Information

	Philip Robert Larson, RDN
	19600 E Ross St # 4014, Tahlequah, OK 74464-0545
	(534) 234-4114
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Philip Robert Larson
Gender	Male
Speciality	Dietitian, Registered
Location	19600 E Ross St # 4014, Tahlequah, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568116309
Provider Enumeration Date: 02/10/2022
Last Update Date: 02/10/2022

Medicare PECOS Information:

PECOS PAC ID: 5991190332
Enrollment ID: I20220321002293

Medical Identifiers

Medical identifiers for Philip Robert Larson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568116309	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	2697 (Oklahoma)	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. Philip Robert Larson allows following entities to bill medicare on his behalf.

Provider Name	Cherokee Nation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628

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. Philip Robert 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
Philip Robert Larson, RDN 19600 E Ross St # 4014, Tahlequah, OK 74464-0545 Ph: (539) 234-4114	Philip Robert Larson, RDN 19600 E Ross St # 4014, Tahlequah, OK 74464-0545 Ph: (534) 234-4114

Reviews and Comments

Dietitian, Registered in Tahlequah, OK

Tori Geasland, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1321 W Red Oak St, Tahlequah, OK 74464 Phone: 918-457-9849
Sarah Hope Fitzgerald, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3880 Highland Dr, Tahlequah, OK 74464 Phone: 985-290-8611
Ms. Lavon Sue Lewis, L.D.R.D. Dietitian Medicare: Medicare Enrolled Practice Location: 712 Janet St, Tahlequah, OK 74464 Phone: 918-456-6230 Fax: 918-456-6230
Mrs. Tonya Rae Swim, RD Dietitian Medicare: Medicare Enrolled Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3180
Tera Beth Windham, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100
Elizabeth Jo Havard, RDN, LD Dietitian Medicare: Medicare Enrolled Practice Location: 19600 E Ross St, Tahlequah, OK 74464 Phone: 539-234-1000
April Dirteater, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2061 Mahaney Ave, Tahlequah, OK 74464 Phone: 918-207-5087

Philip Robert Larson, RDN - Medicare Dietitian in Tahlequah, OK