Amy S Larson, MD - Medicare Pediatrics in Galesburg, IL

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Amy S Larson, MD is a medicare enrolled "Pediatrics" physician in Galesburg, Illinois. Her current practice location is 834 N Seminary St, Suite 304, Galesburg, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 342-2144.

Amy S Larson is licensed to practice in Illinois (license number 036106772) 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 1356442172.

Contact Information

Amy S Larson, MD
834 N Seminary St, Suite 304,
Galesburg, IL 61401-2852
(309) 342-2144
(309) 342-5104

Map and Direction




Physician's Profile

Full NameAmy S Larson
GenderFemale
SpecialityPediatrics
Location834 N Seminary St, Galesburg, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356442172
  • Provider Enumeration Date: 09/26/2006
  • Last Update Date: 02/17/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 5193711570
  • Enrollment ID: I20040421001503

Medical Identifiers

Medical identifiers for Amy S Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356442172NPI-NPPES
036106772MedicaidIL
4815127OtherBC/BS
7860434OtherAETNA
11053882OtherCAQH
364271985-28OtherJOHN DEERE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 036106772 (Illinois)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. Amy S Larson allows following entities to bill medicare on her behalf.
Entity NameKnox Clinic Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265481006
PECOS PAC ID: 6305813411
Enrollment ID: O20040916000542
Entity NameSt Mary Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962467670
PECOS PAC ID: 8628038015
Enrollment ID: O20041011000420
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

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. Amy S 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 AddressPractice Location Address
Amy S Larson, MD
834 N Seminary St, Suite 304,
Galesburg, IL 61401-2852

Ph: (309) 342-2144		Amy S Larson, MD
834 N Seminary St, Suite 304,
Galesburg, IL 61401-2852

Ph: (309) 342-2144

Reviews and Comments


Pediatrics Doctors in Galesburg, IL

Matthew J Weidman, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2028 N Seminary St, Galesburg, IL 61401
Phone: 309-647-0201    
Lynn L Greeley, M.C.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3315 N Seminary St, Galesburg, IL 61401
Phone: 309-344-1000    Fax: 309-344-1054
B. S. Kesavan, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 834 N Seminary St, Suite 302, Galesburg, IL 61401
Phone: 309-342-2171    Fax: 309-342-7205
Subash Paralikar, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 834 N Seminary St, 304, Galesburg, IL 61401
Phone: 309-342-2144    Fax: 309-342-5104
Frank Peppers, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 834 N Seminary St, Suite 302, Galesburg, IL 61401
Phone: 309-342-2171    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.