Mr Larry Lee Bousquet Ii, FNP - Medicare Nurse Practitioner in Fort Mohave, AZ

Mr Larry Lee Bousquet Ii, FNP is a medicare enrolled "Nurse Practitioner" in Fort Mohave, Arizona. His current practice location is 1611 E Joy Ln # 1, Fort Mohave, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 768-9496.

Mr Larry Lee Bousquet Ii is licensed to practice in Arizona (license number 283825) 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 1205544871.

Contact Information

Mr Larry Lee Bousquet Ii, FNP
1611 E Joy Ln # 1,
Fort Mohave, AZ 86426-8807
(928) 768-9496
(928) 768-1943

Map and Direction




Provider's Profile

Full NameMr Larry Lee Bousquet Ii
GenderMale
SpecialityNurse Practitioner
Location1611 E Joy Ln # 1, Fort Mohave, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205544871
  • Provider Enumeration Date: 11/11/2022
  • Last Update Date: 11/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6204206204
  • Enrollment ID: I20230109002573

Medical Identifiers

Medical identifiers for Mr Larry Lee Bousquet Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205544871NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 283825 (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. Mr Larry Lee Bousquet Ii allows following entities to bill medicare on his behalf.
Entity NameMohave Family Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043369168
PECOS PAC ID: 2860575941
Enrollment ID: O20080213000100

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. Mr Larry Lee Bousquet Ii 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 AddressPractice Location Address
Mr Larry Lee Bousquet Ii, FNP
1611 E Joy Ln,
Fort Mohave, AZ 86426-8807

Ph: (928) 768-9496
Mr Larry Lee Bousquet Ii, FNP
1611 E Joy Ln # 1,
Fort Mohave, AZ 86426-8807

Ph: (928) 768-9496

Reviews and Comments


Nurse Practitioner Nurses in Fort Mohave, AZ

Mr. Ian Lloyd Ruiz Baccay, RN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5263 S Highway 95 , Fort Mohave, Az 86426, Fort Mohave, AZ 86426
Phone: 928-704-6400    
Dilyara Cannon,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5653 S Highway 95, Ste A, Fort Mohave, AZ 86426
Phone: 928-768-2558    Fax: 928-768-2874
Kristen Peddycord, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5330 S Highway 95, Fort Mohave, AZ 86426
Phone: 928-788-2273    
Deborah Ann Hughson, RNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5263 Hwy 95, Fort Mohave, AZ 86426
Phone: 928-704-6400    Fax: 928-768-1150
Theresa Marin, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1611 E Joy Ln, Fort Mohave, AZ 86426
Phone: 928-788-8000    
Annie Marie Rodman, MSN/FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1510 E Wagon Wheel Ln, Suite 106, Fort Mohave, AZ 86426
Phone: 928-788-9378    Fax: 928-788-9381

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.