Richard Larsson, PA is a medicare enrolled "Physician Assistant - Medical" in Franklinville, New York. His current practice location is
12 S Main St, Franklinville, New York. You can reach out to his office (for appointments etc.) via phone at
(716) 676-2212.
Richard Larsson is licensed to practice in New York (license number 003239) 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 1063412963.
Provider's Profile
| Full Name | Richard Larsson |
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| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 12 S Main St, Franklinville, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1063412963
- Provider Enumeration Date: 07/21/2005
- Last Update Date: 02/16/2012
Medicare PECOS Information:
- PECOS PAC ID: 2062556624
- Enrollment ID: I20100219000479
Medical Identifiers
Medical identifiers for Richard Larsson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063412963 | NPI | - | NPPES |
| 02220780 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 003239 (New York) | Primary |
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. Richard Larsson 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 |
|---|
Richard Larsson, PA
535 Main St,
Olean, NY 14760-1513
Ph: (716) 372-0141 | Richard Larsson, PA
12 S Main St,
Franklinville, NY 14737-1224
Ph: (716) 676-2212 |
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