Latasha Larson, OT is a medicare enrolled "Occupational Therapist - Environmental Modification" provider in Corcoran, Minnesota. Her current practice location is
19120 Mystique Dr, Corcoran, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 293-3205.
Latasha Larson is licensed to practice in Minnesota (license number 103693) 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 1346911351.
Healthcare Provider's Profile
| Full Name | Latasha Larson |
|---|
| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 19120 Mystique Dr, Corcoran, Minnesota |
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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:
- Latasha Larson attended and graduated from in
NPI Data:
- NPI Number: 1346911351
- Provider Enumeration Date: 09/21/2021
- Last Update Date: 01/17/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Latasha Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346911351 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 103693 (Minnesota) | Secondary |
| 225XG0600X | Occupational Therapist - Gerontology | 103693 (Minnesota) | Secondary |
| 225XE0001X | Occupational Therapist - Environmental Modification | 103693 (Minnesota) | 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. Latasha 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 |
|---|
Latasha Larson, OT
19120 Mystique Dr,
Corcoran, MN 55340-9586
Ph: (320) 293-3205 | Latasha Larson, OT
19120 Mystique Dr,
Corcoran, MN 55340-9586
Ph: (320) 293-3205 |
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