Brandy Lee Larson, FNP is a medicare enrolled "Obstetrics & Gynecology - Gynecologic Oncology" in Idaho Falls, Idaho. Her current practice location is
808 Pancheri Dr, Idaho Falls, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 557-2900.
Brandy Lee Larson is licensed to practice in Idaho (license number CNP60357) 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 1730652280.
Provider's Profile
| Full Name | Brandy Lee Larson |
|---|
| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 808 Pancheri Dr, Idaho Falls, Idaho |
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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:
- Brandy Lee Larson attended and graduated from in
NPI Data:
- NPI Number: 1730652280
- Provider Enumeration Date: 01/08/2019
- Last Update Date: 10/31/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Brandy Lee Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730652280 | NPI | - | NPPES |
| 1730652280 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 60357 (Idaho) | Secondary |
| 207VX0201X | Obstetrics & Gynecology - Gynecologic Oncology | CNP60357 (Idaho) | 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. Brandy Lee 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 |
|---|
Brandy Lee Larson, FNP
3450 Potomac Way,
Idaho Falls, ID 83404-4970
Ph: (208) 557-2900 | Brandy Lee Larson, FNP
808 Pancheri Dr,
Idaho Falls, ID 83402-3344
Ph: (208) 557-2900 |
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