Dr Elise Christine Brodin Larson, MD - Medicare Family Medicine in Fridley, MN

Dr Elise Christine Brodin Larson, MD is a medicare enrolled "Family Medicine" physician in Fridley, Minnesota. Her current practice location is 5130 Main St Ne, Fridley, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 216-1471.

Dr Elise Christine Brodin Larson is licensed to practice in Minnesota (license number 40650) 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 1124087622.

Contact Information

Dr Elise Christine Brodin Larson, MD
5130 Main St Ne,
Fridley, MN 55421-1528
(612) 216-1471
(833) 972-1587

Map and Direction




Physician's Profile

Full NameDr Elise Christine Brodin Larson
GenderFemale
SpecialityFamily Medicine
Location5130 Main St Ne, Fridley, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124087622
  • Provider Enumeration Date: 03/22/2006
  • Last Update Date: 11/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1456259118
  • Enrollment ID: I20160809001674

Medical Identifiers

Medical identifiers for Dr Elise Christine Brodin Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124087622NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 40650 (Minnesota)Primary

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 Elise Christine Brodin 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
Dr Elise Christine Brodin Larson, MD
323 Washington Ave N Ste 200,
Minneapolis, MN 55401-2206

Ph: (952) 698-9860
Dr Elise Christine Brodin Larson, MD
5130 Main St Ne,
Fridley, MN 55421-1528

Ph: (612) 216-1471

Reviews and Comments


Family Medicine Doctors in Fridley, MN

Kevin Brent Bailey, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 7675 Madison St Ne, Fridley, MN 55432
Phone: 763-785-4500    Fax: 763-785-3314
Dr. Elise Michelle Binsfeld, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6341 University Ave Ne, Fridley, MN 55432
Phone: 763-572-5710    Fax: 763-571-3008
Steven Duane Bentz, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 7675 Madison St Ne, Fridley, MN 55432
Phone: 763-785-4500    Fax: 763-785-3314
James William Keane, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 7675 Madison St Ne, Fridley, MN 55432
Phone: 763-785-4500    Fax: 763-785-3314
Rachel Kwiatkowski, ATC
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 550 Osborne Rd Ne, Fridley, MN 55432
Phone: 763-236-5000    
Dr. Janet Lynn Price, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 500 Osborne Rd Ne, Suite 255, Fridley, MN 55432
Phone: 736-236-2500    Fax: 763-236-2505

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.