Jeannie Therese Larson, MD in Maple Grove, MN

Jeannie Therese Larson, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Maple Grove, Minnesota. She went to University Of Minnesota Medical School and graduated in 1985 and has 39 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Park Nicollet Clinic and her current practice location is 9555 Upland Lane N, Maple Grove, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-3260.

Jeannie Therese Larson is licensed to practice in Minnesota (license number 33568) 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 1164406369.

Contact Information

	Jeannie Therese Larson, MD
	9555 Upland Lane N, Maple Grove, MN 55369
	(952) 993-3260
	Not Available

Map and Direction

Physician's Profile

Full Name	Jeannie Therese Larson
Gender	Female
Speciality	Dermatology
Experience	39 Years
Location	9555 Upland Lane N, Maple Grove, Minnesota
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:

Jeannie Therese Larson attended and graduated from University Of Minnesota Medical School in 1985

NPI Data:

NPI Number: 1164406369
Provider Enumeration Date: 12/01/2005
Last Update Date: 08/14/2020

Medicare PECOS Information:

PECOS PAC ID: 6507808102
Enrollment ID: I20101013000605

Medical Identifiers

Medical identifiers for Jeannie Therese Larson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164406369	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	33568 (Minnesota)	Secondary
207ND0101X	Dermatology - Mohs-micrographic Surgery	33568 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Park Nicollet Methodist Hospital	Saint louis park, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Park Nicollet Clinic	7911819438	1530

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. Jeannie Therese Larson allows following entities to bill medicare on her behalf.

Entity Name	Park Nicollet Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

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. Jeannie Therese 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
Jeannie Therese Larson, MD 8170 33rd Ave S, P.o. Box 1309 Mail Stop 21110q, Minneapolis, MN 55425-4516 Ph: (952) 993-3260	Jeannie Therese Larson, MD 9555 Upland Lane N, Maple Grove, MN 55369 Ph: (952) 993-3260

Reviews and Comments

Dermatology Doctors in Maple Grove, MN

Ronda Farah, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14500 99th Ave N, Maple Grove, MN 55369 Phone: 763-898-1570 Fax: 763-898-1576
Dr. Kathleen Maccarthy Demanivel, MD Dermatology Medicare: Medicare Enrolled Practice Location: 14500 99th Ave N, Maple Grove, MN 55369 Phone: 763-898-1000
Dr. Sheilagh M Maguiness, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14500 99th Ave N, Maple Grove, MN 55369 Phone: 763-898-1000
Amrita Goyal-o'leary, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9555 Upland Ln N, Maple Grove, MN 55369 Phone: 952-993-3376
Heidi G H Cole, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9555 Upland Lane North, Maple Grove, MN 55369 Phone: 952-993-1440
Dr. Jill Katherine Wieser, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 7840 Vinewood Ln N, Maple Grove, MN 55369 Phone: 763-236-0200

Jeannie Therese Larson, MD - Medicare Dermatology in Maple Grove, MN