Dr Krista Nicole Larson, MD in Portland, OR

Dr Krista Nicole Larson, MD is a medicare enrolled "Dermatology" physician in Portland, Oregon. She went to University Of Virginia School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Knott Street Dermatology Pc and her current practice location is 301 Ne Knott St Ste 4102, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (305) 562-0588.

Dr Krista Nicole Larson is licensed to practice in Oregon (license number MD200083) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1245693902.

Contact Information

	Dr Krista Nicole Larson, MD
	301 Ne Knott St Ste 4102, Portland, OR 97212-3014
	(305) 562-0588
	(352) 265-1107

Map and Direction

Physician's Profile

Full Name	Dr Krista Nicole Larson
Gender	Female
Speciality	Dermatology
Experience	7 Years
Location	301 Ne Knott St Ste 4102, Portland, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Krista Nicole Larson attended and graduated from University Of Virginia School Of Medicine in 2017

NPI Data:

NPI Number: 1245693902
Provider Enumeration Date: 03/31/2016
Last Update Date: 01/13/2021

Medicare PECOS Information:

PECOS PAC ID: 8729374657
Enrollment ID: I20200903002119

Medical Identifiers

Medical identifiers for Dr Krista Nicole Larson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245693902	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	MD200083 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Knott Street Dermatology Pc	8325050859	5

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 Krista Nicole Larson allows following entities to bill medicare on her behalf.

Entity Name	Knott Street Dermatology Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891741864 PECOS PAC ID: 8325050859 Enrollment ID: O20060626000191

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 Krista Nicole 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 Krista Nicole Larson, MD 301 Ne Knott St, Portland, OR 97212-3014 Ph: (503) 253-3910	Dr Krista Nicole Larson, MD 301 Ne Knott St Ste 4102, Portland, OR 97212-3014 Ph: (305) 562-0588

Reviews and Comments

Dermatology Doctors in Portland, OR

Dr. Alison Marie Small, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 3303 Sw Bond Ave, Portland, OR 97239 Phone: 503-418-3376
Milie Fang, DO Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3303 S Bond Ave Dept, Portland, OR 97239 Phone: 503-494-1375
Bert G Tavelli, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2525 Nw Lovejoy St Ste 400, Portland, OR 97210 Phone: 503-223-1933 Fax: 503-223-1947
Natasha Fewkes Carter, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4914 Sw 1st Ave, Portland, OR 97239 Phone: 310-701-8274
Dr. Samuel Fritz Bremmer, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8211
Oluwadamilare Olalekan Ajayi, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3303 S Bond Ave, Portland, OR 97239 Phone: 503-418-3376 Fax: 503-494-6968
Diane Romayne Baker, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 9495 Sw Locust St Ste A&e, Portland, OR 97223 Phone: 503-471-0500 Fax: 503-471-0504

Dr Krista Nicole Larson, MD - Medicare Dermatology in Portland, OR