Katherine Ann Larson, MD is a medicare enrolled "Internal Medicine" physician in Prairie Du Sac, Wisconsin. She went to Wright State University Boonshoft School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Olmsted Medical Center and her current practice location is
260 26th St, Prairie Du Sac, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 643-3311.
Katherine Ann Larson is licensed to practice in Utah (license number 10120990-1205) 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 1417393661.
Physician's Profile
| Full Name | Katherine Ann Larson |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 11 Years |
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| Location | 260 26th St, Prairie Du Sac, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Katherine Ann Larson attended and graduated from Wright State University Boonshoft School Of Medicine in 2013
NPI Data:
- NPI Number: 1417393661
- Provider Enumeration Date: 05/15/2013
- Last Update Date: 03/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 9931341831
- Enrollment ID: I20190905002329
Medical Identifiers
Medical identifiers for Katherine Ann Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417393661 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 65486 (Minnesota) | Secondary |
| 207R00000X | Internal Medicine | 10120990-1205 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Olmsted Medical Center | 8527970060 | 265 |
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. Katherine Ann Larson allows following entities to bill medicare on her behalf.
| Entity Name | Olmsted Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952356297
PECOS PAC ID: 8527970060
Enrollment ID: O20031119000240 |
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| Entity Name | Rural Physicians Group-pannu Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861808719
PECOS PAC ID: 0345467486
Enrollment ID: O20140924000408 |
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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. Katherine Ann 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 |
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Katherine Ann Larson, MD
260 26th St,
Prairie Du Sac, WI 53578-2203
Ph: (608) 643-3311 | Katherine Ann Larson, MD
260 26th St,
Prairie Du Sac, WI 53578-2203
Ph: (608) 643-3311 |
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