Dr Jason Mark Larsen, OD is a medicare enrolled "Optometrist" provider in Yreka, California. He graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Optometry. His current practice location is
2524 Westside Rd, Yreka, California. You can reach out to his office (for appointments etc.) via phone at
(530) 842-2760.
Dr Jason Mark Larsen is licensed to practice in California (license number OPT12133TPA) 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 1407895964.
Healthcare Provider's Profile
| Full Name | Dr Jason Mark Larsen |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 26 Years |
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| Location | 2524 Westside Rd, Yreka, California |
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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:
- Dr Jason Mark Larsen graduated from medical school in 1998
NPI Data:
- NPI Number: 1407895964
- Provider Enumeration Date: 06/06/2006
- Last Update Date: 12/17/2007
Medicare PECOS Information:
- PECOS PAC ID: 1052481702
- Enrollment ID: I20170316001359
Medical Identifiers
Medical identifiers for Dr Jason Mark Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407895964 | NPI | - | NPPES |
| SDO121330 | Medicaid | CA | |
| ZZZ13445Z | Other | CA | MEDICARE GROUP NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | OPT12133TPA (California) | 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. Dr Jason Mark Larsen allows following entities to bill medicare on his behalf.
| Provider Name | Apple Valley Optometry Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1689175036
PECOS PAC ID: 1951665942
Enrollment ID: O20180426002930 |
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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. Dr Jason Mark 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 |
|---|
Dr Jason Mark Larsen, OD
2524 Westside Rd,
Yreka, CA 96097-9129
Ph: (530) 842-2760 | Dr Jason Mark Larsen, OD
2524 Westside Rd,
Yreka, CA 96097-9129
Ph: (530) 842-2760 |
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