Camilla Z Larsen, MD in Maywood, IL - Medicare Family Practice

Camilla Z Larsen, MD is a medicare enrolled "Family Medicine" physician in Maywood, Illinois. She went to University Of Washington School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Loyola University Medical Center and her current practice location is 2160 S 1st Ave, Maywood, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 216-1116.

Camilla Z Larsen is licensed to practice in Illinois (license number 036108645) 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 1336151752.

Contact Information

	Camilla Z Larsen, MD
	2160 S 1st Ave, Maywood, IL 60153-3328
	(708) 216-1116
	Not Available

Map and Direction

Physician's Profile

Full Name	Camilla Z Larsen
Gender	Female
Speciality	Family Practice
Experience	24 Years
Location	2160 S 1st Ave, Maywood, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Camilla Z Larsen attended and graduated from University Of Washington School Of Medicine in 2000

NPI Data:

NPI Number: 1336151752
Provider Enumeration Date: 08/13/2006
Last Update Date: 02/02/2022

Medicare PECOS Information:

PECOS PAC ID: 0840471264
Enrollment ID: I20110217000875

Medical Identifiers

Medical identifiers for Camilla Z Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336151752	NPI	-	NPPES
036108645	Medicaid	IL
12419687	Other	IL	CAQH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036108645 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Loyola University Medical Center	Maywood, IL	Hospital
Gottlieb Memorial Hospital	Melrose park, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Loyola University Medical Center	3779488903	863

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. Camilla Z Larsen allows following entities to bill medicare on her behalf.

Entity Name	Loyola University Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027

Entity Name	Cook County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747

Entity Name	Bethany Homes And Methodist Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891755351 PECOS PAC ID: 5890770655 Enrollment ID: O20040624000228

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. Camilla Z 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
Camilla Z Larsen, MD 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: () -	Camilla Z Larsen, MD 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-1116

Reviews and Comments

Family Medicine Doctors in Maywood, IL

Eva Bading, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2160 S First Ave, (1211 Roosevelt Rd. ), Maywood, IL 60153 Phone: 708-531-5200 Fax: 708-531-5201
Michael Gregory Mank, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-5446
Chelsea Leigh Fournier, Family Medicine Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 586-588-0217
Kenneth Kin Kan Chan, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2160 S. First Avenue, Loyola Outpatient Center, 4300, Maywood, IL 60153 Phone: 708-216-6006 Fax: 708-216-2683
Peter Lyson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-783-3913
Dr. Jessica Carrie Dingman Mcintyre, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000
Dr. Sudheer Earanky, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-4533

Camilla Z Larsen, MD - Medicare Family Practice in Maywood, IL