Mrs Lesley Rae Larsen, NMW is a medicare enrolled "Advanced Practice Midwife" in Newport, Vermont. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice North Country Hospital And Health Center Inc and her current practice location is
81 Medical Village Dr, Suite 2, Newport, Vermont. You can reach out to her office (for appointments etc.) via phone at
(802) 334-4110.
Mrs Lesley Rae Larsen is licensed to practice in Vermont (license number 1010030803) 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 1649357385.
Provider's Profile
| Full Name | Mrs Lesley Rae Larsen |
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| Gender | Female |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 21 Years |
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| Location | 81 Medical Village Dr, Newport, Vermont |
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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. |
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Medical Education and Training:
- Mrs Lesley Rae Larsen graduated from nursing school in 2003
NPI Data:
- NPI Number: 1649357385
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4486692886
- Enrollment ID: I20050418000416
Medical Identifiers
Medical identifiers for Mrs Lesley Rae Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649357385 | NPI | - | NPPES |
| 78119 | Other | VT | MVP |
| 00068564 | Other | VT | BLUE SHIELD OF VERMONT |
| 8000748 | Other | VT | LADIES FIRST |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 1010030803 (Vermont) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| North Country Hospital And Health Center Inc | 9739073479 | 42 |
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. Mrs Lesley Rae Larsen allows following entities to bill medicare on her behalf.
| Entity Name | North Country Hospital & Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144251059
PECOS PAC ID: 9739073479
Enrollment ID: O20041104000642 |
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| Entity Name | North Country Hospital & Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295868008
PECOS PAC ID: 9739073479
Enrollment ID: O20050616000330 |
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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. Mrs Lesley Rae 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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Mrs Lesley Rae Larsen, NMW
81 Medical Village Dr, Suite 2,
Newport, VT 05855-9835
Ph: (802) 334-4110 | Mrs Lesley Rae Larsen, NMW
81 Medical Village Dr, Suite 2,
Newport, VT 05855-9835
Ph: (802) 334-4110 |
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