Mrs Danielle Nicole Larson, MA CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Spooner, Wisconsin. Her current practice location is
314 Service Rd, Spooner, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 635-2518.
Mrs Danielle Nicole Larson is licensed to practice in Wisconsin (license number 3667-154) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1457696726.
Healthcare Provider's Profile
| Full Name | Mrs Danielle Nicole Larson |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 314 Service Rd, Spooner, Wisconsin |
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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: 1457696726
- Provider Enumeration Date: 11/28/2012
- Last Update Date: 06/11/2020
Medicare PECOS Information:
- PECOS PAC ID: 2163649450
- Enrollment ID: I20140811000607
Medical Identifiers
Medical identifiers for Mrs Danielle Nicole Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457696726 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | 3667-154 (Wisconsin) | 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. Mrs Danielle Nicole Larson allows following entities to bill medicare on her behalf.
| Provider Name | Spooner Physical Therapy & Wellness Inc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1093226011
PECOS PAC ID: 0840558581
Enrollment ID: O20171229001101 |
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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 Danielle Nicole 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 |
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Mrs Danielle Nicole Larson, MA CCC-SLP
314 Service Rd,
Spooner, WI 54801-6200
Ph: (715) 635-2518 | Mrs Danielle Nicole Larson, MA CCC-SLP
314 Service Rd,
Spooner, WI 54801-6200
Ph: (715) 635-2518 |
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