Dr Amy Jeannette Larson, MD is a medicare enrolled "Emergency Medicine" physician in Tumwater, Washington. Her current practice location is
2930 Bush Mountain Ct Sw, Tumwater, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 352-7856.
Dr Amy Jeannette Larson is licensed to practice in Washington (license number MD00039071) 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 1043356819.
Physician's Profile
Full Name | Dr Amy Jeannette Larson |
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Gender | Female |
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Speciality | Emergency Medicine |
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Location | 2930 Bush Mountain Ct Sw, Tumwater, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043356819
- Provider Enumeration Date: 01/29/2007
- Last Update Date: 07/09/2019
Medicare PECOS Information:
- PECOS PAC ID: 3577587088
- Enrollment ID: I20060124000414
Medical Identifiers
Medical identifiers for Dr Amy Jeannette Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043356819 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207PE0004X | Emergency Medicine - Emergency Medical Services | MD00039071 (Washington) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | MD00039071 (Washington) | Secondary |
207P00000X | Emergency Medicine | MD00039071 (Washington) | 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. Dr Amy Jeannette Larson allows following entities to bill medicare on her behalf.
Entity Name | Thurston Emergency Group A Professional Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558526756 PECOS PAC ID: 4688740517 Enrollment ID: O20080829000199 |
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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. Dr Amy Jeannette 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 |
Dr Amy Jeannette Larson, MD 18702 N Creek Pkwy, Suite 212, Bothell, WA 98011-8019 Ph: (425) 486-8868 | Dr Amy Jeannette Larson, MD 2930 Bush Mountain Ct Sw, Tumwater, WA 98512-6731 Ph: (360) 352-7856 |
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