Mrs Jamie P Larsen, PAC is a medicare enrolled "Physician Assistant - Medical" physician in Mesa, Arizona. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Century Care Inc, Arizona Urology Specialists Pllc and her current practice location is
2530 E Southern Ave, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at
(480) 834-4188.
Mrs Jamie P Larsen is licensed to practice in Arizona (license number 5177) 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 1659410983.
Physician's Profile
| Full Name | Mrs Jamie P Larsen |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 20 Years |
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| Location | 2530 E Southern Ave, Mesa, Arizona |
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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:
- Mrs Jamie P Larsen graduated from medical school in 2004
NPI Data:
- NPI Number: 1659410983
- Provider Enumeration Date: 02/05/2007
- Last Update Date: 05/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 0941257943
- Enrollment ID: I20170126002687
Medical Identifiers
Medical identifiers for Mrs Jamie P Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659410983 | NPI | - | NPPES |
| 553068427005 | Medicaid | UT | |
| 005752 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207VG0400X | Obstetrics & Gynecology - Gynecology | 57597411206 (Utah) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 57597411206 (Utah) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 5177 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Century Care Inc | 3971665605 | 44 |
| Arizona Urology Specialists Pllc | 5092863852 | 71 |
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. Mrs Jamie P Larsen 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 |
|---|
Mrs Jamie P Larsen, PAC
25 Crossroads Dr Ste 306,
Owings Mills, MD 21117-5437
Ph: (602) 222-1900 | Mrs Jamie P Larsen, PAC
2530 E Southern Ave,
Mesa, AZ 85204-5411
Ph: (480) 834-4188 |
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