Mr Eric Thomas Larson, CRNA in Woodbury, MN

Mr Eric Thomas Larson, CRNA is a medicare enrolled "Registered Nurse" in Woodbury, Minnesota. His current practice location is 3272 Oak View Dr, Woodbury, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 528-9928.

Mr Eric Thomas Larson is licensed to practice in Minnesota (license number R174225-7) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164725511.

Contact Information

	Mr Eric Thomas Larson, CRNA
	3272 Oak View Dr, Woodbury, MN 55129-9370
	(651) 528-9928
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Eric Thomas Larson
Gender	Male
Speciality	Registered Nurse
Location	3272 Oak View Dr, Woodbury, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164725511
Provider Enumeration Date: 12/07/2010
Last Update Date: 06/17/2014

Medicare PECOS Information:

PECOS PAC ID: 5890979306
Enrollment ID: I20110407000466

Medical Identifiers

Medical identifiers for Mr Eric Thomas Larson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164725511	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R174225-7 (Minnesota)	Primary
367500000X	Nurse Anesthetist, Certified Registered	CCNA0086627 (Minnesota)	Secondary

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. Mr Eric Thomas Larson allows following entities to bill medicare on his behalf.

Entity Name	Stevens Community Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417105552 PECOS PAC ID: 3678475852 Enrollment ID: O20040127000493

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. Mr Eric Thomas 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
Mr Eric Thomas Larson, CRNA 3272 Oak View Dr, Woodbury, MN 55129-9370 Ph: (651) 528-9928	Mr Eric Thomas Larson, CRNA 3272 Oak View Dr, Woodbury, MN 55129-9370 Ph: (651) 528-9928

Reviews and Comments

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Mr Eric Thomas Larson, CRNA - Medicare Registered Nurse in Woodbury, MN