Judy K Larson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Independence, Louisiana. Her current practice location is
Lallie Kemp Hospital, 52579 Highway 51 South, Independence, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(985) 878-9421.
Judy K Larson is licensed to practice in Louisiana (license number 01461) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205876802.
Provider's Profile
Full Name | Judy K Larson |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | Lallie Kemp Hospital, Independence, Louisiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1205876802
- Provider Enumeration Date: 06/08/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6406800986
- Enrollment ID: I20050308000656
Medical Identifiers
Medical identifiers for Judy K Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205876802 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 01461 (Louisiana) | Primary |
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. Judy K Larson allows following entities to bill medicare on her behalf.
Entity Name | Lallie Kemp Medical Ctr |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558303420 PECOS PAC ID: 0345238903 Enrollment ID: O20040503001188 |
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Entity Name | Willis Knighton Medical Center Inc Crna Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174546097 PECOS PAC ID: 1759358674 Enrollment ID: O20040910001124 |
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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. Judy K 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 |
Judy K Larson, CRNA 241 Whispering Ln, Madisonville, LA 70447-9348 Ph: (985) 792-4660 | Judy K Larson, CRNA Lallie Kemp Hospital, 52579 Highway 51 South, Independence, LA 70443 Ph: (985) 878-9421 |
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