Mr Mark Wayne Larsen, MSN-E, FNP-C, CEN is a medicare enrolled "Nurse Practitioner - Family" in Afton, Wyoming. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice North Lincoln County Hospital District and his current practice location is
901 Adams St, Afton, Wyoming. You can reach out to his office (for appointments etc.) via phone at
(885) 885-5800.
Mr Mark Wayne Larsen is licensed to practice in Wyoming (license number 1758.1758) 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 1689166266.
Provider's Profile
| Full Name | Mr Mark Wayne Larsen |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 901 Adams St, Afton, Wyoming |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Mark Wayne Larsen graduated from nursing school in 2018
NPI Data:
- NPI Number: 1689166266
- Provider Enumeration Date: 05/31/2018
- Last Update Date: 05/31/2018
Medicare PECOS Information:
- PECOS PAC ID: 8325395296
- Enrollment ID: I20180724000964
Medical Identifiers
Medical identifiers for Mr Mark Wayne Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689166266 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 1758.1758 (Wyoming) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| North Lincoln County Hospital District | 4789580218 | 51 |
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 Mark Wayne Larsen allows following entities to bill medicare on his behalf.
| Entity Name | North Lincoln County Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730132523
PECOS PAC ID: 4789580218
Enrollment ID: O20031208000415 |
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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. Mr Mark Wayne Larsen 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 |
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Mr Mark Wayne Larsen, MSN-E, FNP-C, CEN
585 W 7615 S,
Willard, UT 84340-9525
Ph: (435) 979-7546 | Mr Mark Wayne Larsen, MSN-E, FNP-C, CEN
901 Adams St,
Afton, WY 83110-9621
Ph: (885) 885-5800 |
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