Mitchell D Larson, CRNA in Greeley, CO - Medicare Certified Registered Nurse Anesthetist (crna)

Mitchell D Larson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Greeley, Colorado. He graduated from nursing school in 1997 and has 27 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Rocky Mountain State Anesthesia Providers and his current practice location is 1801 16th St, Greeley, Colorado. You can reach out to his office (for appointments etc.) via phone at (970) 352-4121.

Mitchell D Larson is licensed to practice in Colorado (license number CRA-15015) 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 1639147705.

Contact Information

	Mitchell D Larson, CRNA
	1801 16th St, Greeley, CO 80631-5154
	(970) 352-4121
	Not Available

Map and Direction

Provider's Profile

Full Name	Mitchell D Larson
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	27 Years
Location	1801 16th St, Greeley, Colorado
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:

Mitchell D Larson graduated from nursing school in 1997

NPI Data:

NPI Number: 1639147705
Provider Enumeration Date: 03/14/2006
Last Update Date: 06/23/2010

Medicare PECOS Information:

PECOS PAC ID: 5597667014
Enrollment ID: I20091116000142

Medical Identifiers

Medical identifiers for Mitchell D Larson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639147705	NPI	-	NPPES
122019500	Medicaid	MN
16674847	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	1378618 (Minnesota)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	CRA-15015 (Colorado)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
North Colorado Medical Center	Greeley, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rocky Mountain State Anesthesia Providers	8729349444	46

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. Mitchell D Larson allows following entities to bill medicare on his behalf.

Entity Name	Summit Eye Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548215346 PECOS PAC ID: 7012984487 Enrollment ID: O20040914001362

Entity Name	Rocky Mountain State Anesthesia Providers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730692054 PECOS PAC ID: 8729349444 Enrollment ID: O20180220003107

Entity Name	Sterling Anesthesia Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932978897 PECOS PAC ID: 3971956434 Enrollment ID: O20240131003232

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. Mitchell 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 Address	Practice Location Address
Mitchell D Larson, CRNA 6527 Aberdour Cir, Windsor, CO 80550-7012 Ph: (970) 776-6991	Mitchell D Larson, CRNA 1801 16th St, Greeley, CO 80631-5154 Ph: (970) 352-4121

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Greeley, CO

Paula Sylvester, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1801 North16th Ave, Greeley, CO 80631 Phone: 970-810-4819
Jesse Travis, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 16th St, Greeley, CO 80631 Phone: 970-810-4819 Fax: 970-810-4015
Mr. John Bernard Howerter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 16th St # 800631, Greeley, CO 80631 Phone: 970-350-6639
Katherine Bliss, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1801 16th St, Greeley, CO 80631 Phone: 970-815-3860
Ashley Jordan Bailes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 16th St, Greeley, CO 80631 Phone: 970-810-4121
Caitlin E O'connor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 16th St, Greeley, CO 80631 Phone: 970-420-0905
Ms. Mary Susan Haskett, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1801 16th St, Greeley, CO 80631 Phone: 970-392-2352 Fax: 970-350-6454

Mitchell D Larson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Greeley, CO