Denise Marie Larson, DO is a medicare enrolled "Emergency Medicine - Undersea And Hyperbaric Medicine" physician in Mora, Minnesota. Her current practice location is
301 Highway 65 S, Firstlight Health System, Mora, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 225-3432.
Denise Marie Larson is licensed to practice in Minnesota (license number 36489) 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 1033147251.
Physician's Profile
Full Name | Denise Marie Larson |
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Gender | Female |
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Speciality | Emergency Medicine - Undersea And Hyperbaric Medicine |
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Location | 301 Highway 65 S, Mora, Minnesota |
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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: 1033147251
- Provider Enumeration Date: 06/28/2006
- Last Update Date: 04/22/2016
Medicare PECOS Information:
- PECOS PAC ID: 4082613344
- Enrollment ID: I20080425000445
Medical Identifiers
Medical identifiers for Denise Marie Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033147251 | NPI | - | NPPES |
302513600 | Medicaid | MN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207PE0004X | Emergency Medicine - Emergency Medical Services | 36489 (Minnesota) | Secondary |
207PE0005X | Emergency Medicine - Undersea And Hyperbaric Medicine | 36489 (Minnesota) | 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. Denise Marie Larson allows following entities to bill medicare on her behalf.
Entity Name | County Of Kanabec |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528031390 PECOS PAC ID: 0648187237 Enrollment ID: O20031125000660 |
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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. Denise Marie 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 |
Denise Marie Larson, DO 301 Highway 65 S, Firstlight Health System, Mora, MN 55051-1899 Ph: (320) 225-3432 | Denise Marie Larson, DO 301 Highway 65 S, Firstlight Health System, Mora, MN 55051-1899 Ph: (320) 225-3432 |
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