Jon D Larson, MD in Detroit Lakes, MN - Medicare Family Practice

Jon D Larson, MD is a medicare enrolled "Family Medicine" physician in Detroit Lakes, Minnesota. He went to University Of North Dakota School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Sanford Clinic North, Sanford Medical Center Fargo, Sanford Clinic North, Sanford Medical Center Fargo and his current practice location is 1245 Washington Ave, Detroit Lakes, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 846-2000.

Jon D Larson is licensed to practice in Minnesota (license number 45023) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1508884172.

Contact Information

	Jon D Larson, MD
	1245 Washington Ave, Detroit Lakes, MN 56501-3905
	(218) 846-2000
	(218) 846-2114

Map and Direction

Physician's Profile

Full Name	Jon D Larson
Gender	Male
Speciality	Family Practice
Experience	33 Years
Location	1245 Washington Ave, Detroit Lakes, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jon D Larson attended and graduated from University Of North Dakota School Of Medicine in 1991

NPI Data:

NPI Number: 1508884172
Provider Enumeration Date: 07/18/2006
Last Update Date: 03/29/2022

Medicare PECOS Information:

PECOS PAC ID: 1355323635
Enrollment ID: I20040601001446

Medical Identifiers

Medical identifiers for Jon D Larson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508884172	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	45023 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hospice Of Red River Valley	Fargo, ND	Hospice
Sanford Medical Center Fargo	Fargo, ND	Hospital
Mahnomen Health Center	Mahnomen, MN	Hospital
Mahnomen Health Center	Mahnomen, MN	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sanford Clinic North	4284546151	76
Sanford Medical Center Fargo	8426967803	1085
Sanford Clinic North	4284546151	76
Sanford Medical Center Fargo	8426967803	1085

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. Jon D Larson allows following entities to bill medicare on his behalf.

Entity Name	Sanford Clinic North
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548532468 PECOS PAC ID: 4284546151 Enrollment ID: O20031209000264

Entity Name	Sanford Health Of Northern Minnesota
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770849697 PECOS PAC ID: 5597725168 Enrollment ID: O20041025000442

Entity Name	Sanford Medical Center Fargo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110701000031

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. Jon D 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
Jon D Larson, MD 1245 Washington Ave, Detroit Lakes, MN 56501-3905 Ph: (218) 846-2000	Jon D Larson, MD 1245 Washington Ave, Detroit Lakes, MN 56501-3905 Ph: (218) 846-2000

Reviews and Comments

Family Medicine Doctors in Detroit Lakes, MN

Dr. Gaurav Suresh Mehta, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Avenue, Detroit Lakes, MN 56501 Phone: 218-847-5611
Benita Behm, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-844-2300
Julie A Pazdernik, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881
Robert A Koshnick, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881
Tricia Rae Brein, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611
Abigail K Ring, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881
Scott Allen Lawrence, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1361 Wenner Rd, Detroit Lakes, MN 56501 Phone: 218-396-6500 Fax: 218-396-6504

Jon D Larson, MD - Medicare Family Practice in Detroit Lakes, MN