Hollis Maurice Larson, CCC-SLP in Tempe, AZ - Medicare Speech-Language Pathologist Provider

Hollis Maurice Larson, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Tempe, Arizona. His current practice location is 1930 E Southern Ave, Tempe, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 456-0719.

Hollis Maurice Larson is licensed to practice in Arizona (license number 4891) 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 1124283775.

Contact Information

	Hollis Maurice Larson, CCC-SLP
	1930 E Southern Ave, Tempe, AZ 85282-7518
	(480) 456-0719
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Hollis Maurice Larson
Gender	Male
Speciality	Speech-language Pathologist
Location	1930 E Southern Ave, Tempe, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124283775
Provider Enumeration Date: 07/23/2008
Last Update Date: 02/23/2018

Medicare PECOS Information:

PECOS PAC ID: 2668737099
Enrollment ID: I20180605002686

Medical Identifiers

Medical identifiers for Hollis Maurice Larson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124283775	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	4891 (Arizona)	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. Hollis Maurice Larson allows following entities to bill medicare on his behalf.

Provider Name	Solace Pediatric Healthcare Therapy Services Az, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1669533105 PECOS PAC ID: 2163784299 Enrollment ID: O20180329000661

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. Hollis Maurice 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
Hollis Maurice Larson, CCC-SLP 647 E Manor Dr, Chandler, AZ 85225-8432 Ph: (480) 254-8724	Hollis Maurice Larson, CCC-SLP 1930 E Southern Ave, Tempe, AZ 85282-7518 Ph: (480) 456-0719

Reviews and Comments

Speech-Language Pathologist in Tempe, AZ

Lauren Owens, MS Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1930 E Southern Ave, Tempe, AZ 85282 Phone: 480-456-0719
Ms. Cheryl H. Davis, M.A. CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 8700 S Kyrene Rd, Tempe, AZ 85284 Phone: 480-783-4100
Kristine Lyn Williams-gregory, M.S.,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8700 S Kyrene Rd, Tempe, AZ 85284 Phone: 480-783-3167 Fax: 480-345-2052
Ms. Debra Kay Mikkelsen, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 625 W Cornell Dr, Tempe, AZ 85283 Phone: 480-897-6233 Fax: 480-838-0061
Ms. Lisa J. Monheit, M.S., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 8700 S Kyrene Rd, Tempe, AZ 85284 Phone: 480-783-3220
Mrs. Kelly Ingram, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Arizona State University Speech And Hearing, 975 S. Myrtle Lattie Coor Hall 2324, Tempe, AZ 85287 Phone: 480-965-5830
Mrs. Diana Lynn Whitley-janowski, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1428 N Mcallister Ave, Tempe, AZ 85281 Phone: 602-620-8119

Hollis Maurice Larson, CCC-SLP - Medicare Speech-Language Pathologist in Tempe, AZ