Mr Gregory Raymond Larson, APRN, CNP - Medicare Nurse Practitioner in Moose Lake, MN

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Mr Gregory Raymond Larson, APRN, CNP is a medicare enrolled "Nurse Practitioner - Family" in Moose Lake, Minnesota. His current practice location is 4572 County Road 61, Moose Lake, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 785-2015.

Mr Gregory Raymond Larson is licensed to practice in Minnesota (license number 1279791) 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 1982465761.

Contact Information

Mr Gregory Raymond Larson, APRN, CNP
4572 County Road 61,
Moose Lake, MN 55767-9401
(218) 785-2015
Not Available

Map and Direction




Provider's Profile

Full NameMr Gregory Raymond Larson
GenderMale
SpecialityNurse Practitioner - Family
Location4572 County Road 61, Moose Lake, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1982465761
  • Provider Enumeration Date: 01/19/2024
  • Last Update Date: 04/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1355782228
  • Enrollment ID: I20240509000159

Medical Identifiers

Medical identifiers for Mr Gregory Raymond Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982465761NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 263976 (Wisconsin)Secondary
363LF0000XNurse Practitioner - Family 1279791 (Minnesota)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. Mr Gregory Raymond Larson allows following entities to bill medicare on his behalf.
Entity NameThe Duluth Clinic Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902563638
PECOS PAC ID: 2567374283
Enrollment ID: O20031103000229
Entity NamePine Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326041633
PECOS PAC ID: 3870406945
Enrollment ID: O20031106000272
Entity NameEssentia Health Moose Lake
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154959880
PECOS PAC ID: 6608290333
Enrollment ID: O20200730001548

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 Gregory Raymond 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 AddressPractice Location Address
Mr Gregory Raymond Larson, APRN, CNP
400 E 3rd St,
Duluth, MN 55805-1951

Ph: (218) 786-8364		Mr Gregory Raymond Larson, APRN, CNP
4572 County Road 61,
Moose Lake, MN 55767-9401

Ph: (218) 785-2015

Reviews and Comments


Nurse Practitioner Nurses in Moose Lake, MN

Faith A. Manty, APRN, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4572 County Road 61, Moose Lake, MN 55767
Phone: 218-485-4481    Fax: 218-485-5866
Sonja M. Roach, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4570 County Highway 61, Moose Lake, MN 55767
Phone: 218-485-4491    Fax: 218-485-4724
Jonathan Franklin Klingaman, PMHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1111 Highway 73, Moose Lake, MN 55767
Phone: 218-565-6200    
Genevieve M Swenson, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4570 Cty. Hwy. 61, Moose Lake, MN 55767
Phone: 218-485-4491    Fax: 218-485-4724
Keri Ann Ovsak, RN, MA, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1111 Highway 73, Moose Lake, MN 55767
Phone: 218-565-6200    Fax: 218-565-6240

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.