Dr Shelly Lea Larson-peters, MD - Medicare Neurology in Blaine, MN

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Dr Shelly Lea Larson-peters, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Blaine, Minnesota. She graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Neurology. She is a member of the group practice Noran Neurological Clinic, Pa and her current practice location is 11091 Ulysses St, Suite 100, Blaine, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 879-1000.

Dr Shelly Lea Larson-peters is licensed to practice in Minnesota (license number 50897) 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 1336333509.

Contact Information

Dr Shelly Lea Larson-peters, MD
11091 Ulysses St, Suite 100,
Blaine, MN 55434-4238
(612) 879-1000
(612) 879-9116

Map and Direction




Physician's Profile

Full NameDr Shelly Lea Larson-peters
GenderFemale
SpecialityNeurology
Experience21 Years
Location11091 Ulysses St, Blaine, Minnesota
Accepts Medicare AssignmentsYes. 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 Shelly Lea Larson-peters graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1336333509
  • Provider Enumeration Date: 08/30/2007
  • Last Update Date: 07/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0042356479
  • Enrollment ID: I20091015000104

Medical Identifiers

Medical identifiers for Dr Shelly Lea Larson-peters such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336333509NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology 50897 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Abbott Northwestern HospitalMinneapolis, MNHospital
Mercy HospitalCoon rapids, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Noran Neurological Clinic, Pa397149738948

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 Shelly Lea Larson-peters allows following entities to bill medicare on her behalf.
Entity NameNoran Neurological Clinic, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710098306
PECOS PAC ID: 3971497389
Enrollment ID: O20040209000324
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460

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 Shelly Lea Larson-peters 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 Shelly Lea Larson-peters, MD
3601 Minnesota Dr Ste 200,
Bloomington, MN 55435-5281

Ph: (612) 879-1000		Dr Shelly Lea Larson-peters, MD
11091 Ulysses St, Suite 100,
Blaine, MN 55434-4238

Ph: (612) 879-1000

Reviews and Comments


Psychiatry & Neurology Doctors in Blaine, MN

Tacjana Krystyna Eich Friday, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 11091 Ulysses St Ne Ste 100, Blaine, MN 55434
Phone: 612-879-1000    Fax: 612-879-9116
Ana P Groeschel, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 11091 Ulysses Street Ne, Suite 100, Blaine, MN 55434
Phone: 612-879-1000    Fax: 612-879-0722
Robert G Jacoby, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 11091 Ulysses Street, Suite 100, Blaine, MN 55434
Phone: 612-879-1000    Fax: 612-879-0782

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.