Dr Ellen M Larson, MD in Hamilton, NY - Medicare Family Medicine

Dr Ellen M Larson, MD is a medicare enrolled "Family Medicine" physician in Hamilton, New York. Her current practice location is 140 Broad St, Hamilton, New York. You can reach out to her office (for appointments etc.) via phone at (315) 228-7750.

Dr Ellen M Larson is licensed to practice in New York (license number 217285) 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 1629029442.

Contact Information

	Dr Ellen M Larson, MD
	140 Broad St, Hamilton, NY 13346-9575
	(315) 228-7750
	(315) 228-6823

Map and Direction

Physician's Profile

Full Name	Dr Ellen M Larson
Gender	Female
Speciality	Family Medicine
Location	140 Broad St, Hamilton, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629029442
Provider Enumeration Date: 05/15/2006
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 1153358965
Enrollment ID: I20050725000024

Medical Identifiers

Medical identifiers for Dr Ellen M Larson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629029442	NPI	-	NPPES
02194558	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	217285 (New York)	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 Ellen M Larson allows following entities to bill medicare on her behalf.

Entity Name	Mary Imogene Bassett Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20031205000553

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 Ellen M 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
Dr Ellen M Larson, MD Po Box 725, Cooperstown, NY 13326-0725 Ph: (315) 825-3111	Dr Ellen M Larson, MD 140 Broad St, Hamilton, NY 13346-9575 Ph: (315) 228-7750

Reviews and Comments

Family Medicine Doctors in Hamilton, NY

Richard M Buschatzke, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 160 Broad St, Hamilton, NY 13346 Phone: 315-825-3111 Fax: 315-825-3017
Amy Michelle Dennis, Family Medicine Medicare: Medicare Enrolled Practice Location: 164 Broad St, Hamilton, NY 13346 Phone: 315-824-4600
Richard Shalett Cohen, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 52 Utica St, Hamilton, NY 13346 Phone: 315-824-2477 Fax: 315-824-1851
Robert W Delorme, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 164 Broad St, Hamilton, NY 13346 Phone: 315-824-4600 Fax: 315-824-8447

Dr Ellen M Larson, MD - Medicare Family Medicine in Hamilton, NY