Charles Blaise Larson, FNP-BC in Twin Falls, ID

Charles Blaise Larson, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Twin Falls, Idaho. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Gem State Ent Pllc and his current practice location is 730 N College Rd Ste B, Twin Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 814-7350.

Charles Blaise Larson is licensed to practice in Idaho (license number NP-1716A) 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 1497120349.

Contact Information

	Charles Blaise Larson, FNP-BC
	730 N College Rd Ste B, Twin Falls, ID 83301-3382
	(208) 814-7350
	Not Available

Map and Direction

Provider's Profile

Full Name	Charles Blaise Larson
Gender	Male
Speciality	Nurse Practitioner
Experience	9 Years
Location	730 N College Rd Ste B, Twin Falls, Idaho
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charles Blaise Larson graduated from nursing school in 2015

NPI Data:

NPI Number: 1497120349
Provider Enumeration Date: 12/03/2015
Last Update Date: 05/09/2016

Medicare PECOS Information:

PECOS PAC ID: 6406154749
Enrollment ID: I20160419002907

Medical Identifiers

Medical identifiers for Charles Blaise Larson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497120349	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	NP-1716A (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Lukes Magic Valley Medical Center	Twin falls, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gem State Ent Pllc	8123470481	6

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. Charles Blaise Larson allows following entities to bill medicare on his behalf.

Entity Name	St Lukes Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899

Entity Name	Gem State Ent Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215715669 PECOS PAC ID: 8123470481 Enrollment ID: O20240123000730

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. Charles Blaise 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
Charles Blaise Larson, FNP-BC 730 Nth College Rd # B, Twin Falls, ID 83301-3382 Ph: (208) 732-3066	Charles Blaise Larson, FNP-BC 730 N College Rd Ste B, Twin Falls, ID 83301-3382 Ph: (208) 814-7350

Reviews and Comments

Nurse Practitioner Nurses in Twin Falls, ID

Madison Christine Campbell, MSN, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 815 N College Rd, Twin Falls, ID 83301 Phone: 208-814-9100 Fax: 208-814-9903
Janice Carter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2086 Addison Ave E, Twin Falls, ID 83301 Phone: 208-733-9697 Fax: 208-733-3197
Lesley D. Goulding, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W Ste 302, Twin Falls, ID 83301 Phone: 208-814-8740 Fax: 208-814-8955
Mrs. Amanda Jo Prestigiacomo, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 N Haven Dr, Twin Falls, ID 83301 Phone: 208-904-4780 Fax: 208-904-4832
Mrs. Raemi Dawn Nolevanko, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1000
Reatta Omoth, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2550 Addison Ave E Ste E, Twin Falls, ID 83301 Phone: 208-814-7780 Fax: 208-814-7746
Corinne Bartschi, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1502 Locust St N Ste 700, Twin Falls, ID 83301 Phone: 208-595-5095

Charles Blaise Larson, FNP-BC - Medicare Nurse Practitioner in Twin Falls, ID