Jacqueline Kay Larson, MD in Tampa, FL

Jacqueline Kay Larson, MD is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in Tampa, Florida. Her current practice location is 2 Tampa General Cir, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 821-8038.

Jacqueline Kay Larson is licensed to practice in Florida (license number ME124534) 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 1386996759.

Contact Information

	Jacqueline Kay Larson, MD
	2 Tampa General Cir, Tampa, FL 33606-3571
	(813) 821-8038
	(813) 974-0483

Map and Direction

Physician's Profile

Full Name	Jacqueline Kay Larson
Gender	Female
Speciality	Pediatrics - Pediatric Gastroenterology
Location	2 Tampa General Cir, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386996759
Provider Enumeration Date: 10/10/2012
Last Update Date: 04/24/2024

Medicare PECOS Information:

PECOS PAC ID: 6800146267
Enrollment ID: I20210225001457

Medical Identifiers

Medical identifiers for Jacqueline Kay Larson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386996759	NPI	-	NPPES
101153100	Medicaid	FL
76LDO	Other	FL	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0206X	Pediatrics - Pediatric Gastroenterology	ME124534 (Florida)	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. Jacqueline Kay Larson allows following entities to bill medicare on her behalf.

Entity Name	University Medical Service Association Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992742324 PECOS PAC ID: 6800790221 Enrollment ID: O20031126000130

Entity Name	South Broward Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528659679 PECOS PAC ID: 8123927373 Enrollment ID: O20210309000237

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. Jacqueline Kay 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
Jacqueline Kay Larson, MD Po Box 917770, Orlando, FL 32891-0001 Ph: (813) 821-8038	Jacqueline Kay Larson, MD 2 Tampa General Cir, Tampa, FL 33606-3571 Ph: (813) 821-8038

Reviews and Comments

Pediatrics Doctors in Tampa, FL

Tracy C Burton, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2 Tampa General Cir, 5th Floor, Tampa, FL 33606 Phone: 813-259-8752 Fax: 813-259-8749
Dr. Steven Lee Ford, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2 Tampa General Cir, Tampa, FL 33606 Phone: 813-974-2201 Fax: 813-974-2812
Donald F Pitisci, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2506 W Virginia Ave, Tampa, FL 33607 Phone: 813-870-3720 Fax: 813-877-0184
Dr. Carolyn Louise Marasco, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10330 N Dale Mabry Hwy, Ste 190, Tampa, FL 33618 Phone: 813-963-7788 Fax: 813-443-8149
Ellen Verena Jorgensen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 12901 Bruce B Downs Blvd, Mdc 15, Tampa, FL 33612 Phone: 813-974-2583
Dr. Jonni H Klapper, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1202 E Palm Ave, School Health Services, Tampa, FL 33605 Phone: 813-273-7020 Fax: 813-273-7328
Dr. Raafat Ismail Hamzeh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8907 Regents Park Dr, Suite 330, Tampa, FL 33647 Phone: 813-907-0233 Fax: 813-907-0064

Jacqueline Kay Larson, MD - Medicare Pediatrics in Tampa, FL