Jessie Larson, MD is a
Internal Medicine physician based in Killingworth, Connecticut. Jessie Larson is licensed to practice in Connecticut (license number 033582) and her current practice location is 13 Rebecca Ln, Killingworth, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(203) 376-6026.
NPI number for Jessie Larson is 1902253701 and her current mailing address is 13 Rebecca Ln, Killingworth, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902253701.
Physician's Profile
Full Name | Jessie Larson |
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Gender | Female |
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Speciality | Internal Medicine |
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Location | 13 Rebecca Ln, Killingworth, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902253701
- Provider Enumeration Date: 05/21/2016
- Last Update Date: 05/21/2016
Medical Identifiers
Medical identifiers for Jessie Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902253701 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 033582 (Connecticut) | Primary |
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. Jessie Larson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jessie Larson, MD 13 Rebecca Ln, Killingworth, CT 06419-1455 Ph: () - | Jessie Larson, MD 13 Rebecca Ln, Killingworth, CT 06419-1455 Ph: (203) 376-6026 |
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