Dustin Larsen, | |
2199 N Merrit Crk Loop, Coeur D Alene, ID 83814-4949 | |
(208) 665-7546 | |
Not Available |
Full Name | Dustin Larsen |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 11 Years |
Location | 2199 N Merrit Crk Loop, Coeur D Alene, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699194530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | M-13761 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Skin Surgery Center Pa | 3173599479 | 53 |
Entity Name | Skin Surgery Center Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649237082 PECOS PAC ID: 3173599479 Enrollment ID: O20040908000943 |
Mailing Address | Practice Location Address |
---|---|
Dustin Larsen, 2199 N Merrit Crk Loop, Coeur D Alene, ID 83814-4949 Ph: (435) 881-4966 | Dustin Larsen, 2199 N Merrit Crk Loop, Coeur D Alene, ID 83814-4949 Ph: (208) 665-7546 |
Benjamin Carl Ringger, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2288 N Merritt Creek Loop, Coeur D Alene, ID 83814 Phone: 208-665-7546 Fax: 208-667-4607 | |
Charles Hughes Cardarelli, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2271 W Ironwood Center Dr, Coeur D Alene, ID 83814 Phone: 208-667-2485 Fax: 208-667-2487 | |
Dr. Alicia Eve Ogram, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 980 W Ironwood Dr Ste 1, Coeur D Alene, ID 83814 Phone: 208-625-4333 Fax: 208-625-4334 | |
Dr. Ashley Anne Hamstra, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 421 E Lakeside Ave Ste 105, Coeur D Alene, ID 83814 Phone: 208-277-9704 Fax: 208-277-9704 | |
Dr. Hilary H Hill, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1700 W Riverstone Dr, Coeur D Alene, ID 83814 Phone: 208-770-2822 Fax: 208-770-2911 | |
Dr. Kate Khorsand, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 980 W Ironwood Dr Ste 1, Coeur D Alene, ID 83814 Phone: 208-625-4333 Fax: 208-625-4334 |