Bruce D Larson, PAC - Medicare Physician Assistant in Lisbon, ND

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Bruce D Larson, PAC is a medicare enrolled "Physician Assistant" in Lisbon, North Dakota. He graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Innovis Health Llc and his current practice location is 819 Main St, Lisbon, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 683-4134.

Bruce D Larson is licensed to practice in North Dakota (license number PAC0257) 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 1265470371.

Contact Information

Bruce D Larson, PAC
819 Main St,
Lisbon, ND 58054-4244
(701) 683-4134
(701) 683-4094

Map and Direction




Provider's Profile

Full NameBruce D Larson
GenderMale
SpecialityPhysician Assistant
Experience24 Years
Location819 Main St, Lisbon, North Dakota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Bruce D Larson graduated from nursing school in 2000
  NPI Data:
  • NPI Number: 1265470371
  • Provider Enumeration Date: 06/02/2006
  • Last Update Date: 02/19/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4385637578
  • Enrollment ID: I20040405000897

Medical Identifiers

Medical identifiers for Bruce D Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265470371NPI-NPPES
137047OtherNDUCARE #
1797235OtherNDAMERICA'S PPO/ARAZ #
DA9061031057OtherNDPREFERRED ONE #
0113759OtherNDMEDICA #
0113760OtherNDMEDICA #
23227OtherNDNDBS #
514S4LSOtherNDMNBS #
798727700MedicaidND
HP38590OtherNDHEALTHPARTNERS #
514S3LAOtherNDMNBS #
515S5LAOtherNDMNBS #
0113761OtherNDMEDICA #
23228OtherNDNDBS #
P00055624OtherNDRR MEDICARE #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PAC0257 (North Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Essentia HealthFargo, NDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Innovis Health Llc9931298155478

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. Bruce 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 AddressPractice Location Address
Bruce D Larson, PAC
Po Box 6001,
Fargo, ND 58108-6001

Ph: (701) 683-4134		Bruce D Larson, PAC
819 Main St,
Lisbon, ND 58054-4244

Ph: (701) 683-4134

Reviews and Comments


Physician Assistant Nurses in Lisbon, ND

Katie L Tanner, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 819 Main St, Lisbon, ND 58054
Phone: 701-683-4134    Fax: 701-683-4094
Mr. Brent Michael Buchholz, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 905 Main St, Lisbon, ND 58054
Phone: 701-683-6400    Fax: 701-683-4345
Stacey Maria Walton, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 10 9th Ave E, Lisbon, ND 58054
Phone: 701-683-4711    Fax: 701-683-3205

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.