Mrs Jamie P Larsen, PAC is a medicare enrolled "Physician Assistant - Medical" physician in Mesa, Arizona. 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 | |
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Experience | 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. |
Medical Education and Training:
- Mrs Jamie P Larsen attended and graduated from in
NPI Data:
- NPI Number: 1659410983
- Provider Enumeration Date: 02/05/2007
- Last Update Date: 05/20/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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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