Stephen Lee Larson Jr, LICSW, MSW in Mankato, MN - Medicare Social Worker Provider

Stephen Lee Larson Jr, LICSW, MSW is a medicare enrolled "Social Worker - Clinical" provider in Mankato, Minnesota. His current practice location is 151 Saint Andrews Ct Ste 710, Mankato, Minnesota. You can reach out to his office (for appointments etc.) via phone at (507) 386-7121.

Stephen Lee Larson Jr is licensed to practice in Minnesota (license number 18241) 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 1659618650.

Contact Information

	Stephen Lee Larson Jr, LICSW, MSW
	151 Saint Andrews Ct Ste 710, Mankato, MN 56001-8815
	(507) 386-7121
	(507) 344-0690

Map and Direction

Healthcare Provider's Profile

Full Name	Stephen Lee Larson Jr
Gender	Male
Speciality	Social Worker - Clinical
Location	151 Saint Andrews Ct Ste 710, Mankato, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659618650
Provider Enumeration Date: 01/10/2013
Last Update Date: 06/06/2023

Medicare PECOS Information:

PECOS PAC ID: 6800292616
Enrollment ID: I20210902001019

Medical Identifiers

Medical identifiers for Stephen Lee Larson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659618650	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	18241 (Minnesota)	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. Stephen Lee Larson Jr allows following entities to bill medicare on his behalf.

Entity Name	Surdy Psychological Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225576127 PECOS PAC ID: 6709162811 Enrollment ID: O20170404000214

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. Stephen Lee Larson Jr 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
Stephen Lee Larson Jr, LICSW, MSW 151 Saint Andrews Ct Ste 710, Mankato, MN 56001-8815 Ph: (507) 386-7121	Stephen Lee Larson Jr, LICSW, MSW 151 Saint Andrews Ct Ste 710, Mankato, MN 56001-8815 Ph: (507) 386-7121

Reviews and Comments

Social Worker in Mankato, MN

Lacy Osborne, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 100 Warren St # 324, Mankato, MN 56001 Phone: 507-227-4858 Fax: 507-519-2271
Michele J. Larson, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 104 Serra St, Mankato, MN 56001 Phone: 608-577-5742
Nancy Altmann, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1400 Madison Ave Ste 322, Mankato, MN 56001 Phone: 507-702-3030
Tammy M Gagnon, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 Civic Center Plz Ste 1615, Mankato, MN 56001 Phone: 507-345-4679 Fax: 507-345-8685
Michelle Olivia Olund Youngberg, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1600 Warren St Ste 6, Mankato, MN 56001 Phone: 507-389-1443 Fax: 855-360-3593
Anna Marie Johanson, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1400 Madison Ave Ste 352, Mankato, MN 56001 Phone: 507-387-3195
Katelin Michelle Farmer, LICSW, MSW, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Warren St Ste 324, Mankato, MN 56001 Phone: 507-344-3124 Fax: 507-519-2271

Stephen Lee Larson Jr, LICSW, MSW - Medicare Clinical Social Worker in Mankato, MN