Larissa Ann Haug, PA is a medicare enrolled "Physician Assistant" in Northwood, North Dakota. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Northwood Deaconess Health Center and her current practice location is
4 N Park St, Northwood, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 587-6900.
Larissa Ann Haug is licensed to practice in North Dakota (license number PAC0729) 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 1710473764.
Provider's Profile
Full Name | Larissa Ann Haug |
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Gender | Female |
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Speciality | Physician Assistant |
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Experience | 7 Years |
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Location | 4 N Park St, Northwood, North Dakota |
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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:
- Larissa Ann Haug graduated from nursing school in 2018
NPI Data:
- NPI Number: 1710473764
- Provider Enumeration Date: 07/02/2018
- Last Update Date: 01/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 3779835616
- Enrollment ID: I20181004000726
Medical Identifiers
Medical identifiers for Larissa Ann Haug such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710473764 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PAC0729 (North Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Northwood Deaconess Health Center | 1052207057 | 13 |
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. Larissa Ann Haug allows following entities to bill medicare on her behalf.
Entity Name | Cooperstown Medical Center |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1235239229 PECOS PAC ID: 5698687689 Enrollment ID: O20060502000847 |
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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. Larissa Ann Haug 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 |
Larissa Ann Haug, PA 4 N Park St, Northwood, ND 58267-4102 Ph: (701) 587-6900 | Larissa Ann Haug, PA 4 N Park St, Northwood, ND 58267-4102 Ph: (701) 587-6900 |
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