Christina Danielle Larsen, in Broken Bow, NE - Medicare Counselor Provider

Christina Danielle Larsen, is a medicare enrolled "Counselor - Mental Health" provider in Broken Bow, Nebraska. Her current practice location is 525 S 9th Ave, Broken Bow, Nebraska. You can reach out to her office (for appointments etc.) via phone at (308) 872-5040.

Christina Danielle Larsen is licensed to practice in Nebraska (license number 3867) 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 1568036390.

Contact Information

	Christina Danielle Larsen,
	525 S 9th Ave, Broken Bow, NE 68822-2457
	(308) 872-5040
	(308) 872-5060

Map and Direction

Healthcare Provider's Profile

Full Name	Christina Danielle Larsen
Gender	Female
Speciality	Counselor - Mental Health
Location	525 S 9th Ave, Broken Bow, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568036390
Provider Enumeration Date: 05/17/2021
Last Update Date: 10/23/2024

Medicare PECOS Information:

PECOS PAC ID: 4486003415
Enrollment ID: I20231215000577

Medical Identifiers

Medical identifiers for Christina Danielle Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568036390	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	3867 (Nebraska)	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. Christina Danielle Larsen allows following entities to bill medicare on her behalf.

Entity Name	Wholeness Healing Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124130364 PECOS PAC ID: 3173571320 Enrollment ID: O20050105000266

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. Christina Danielle 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
Christina Danielle Larsen, 2608 Old Fair Rd, Grand Island, NE 68803-5271 Ph: (308) 382-5297	Christina Danielle Larsen, 525 S 9th Ave, Broken Bow, NE 68822-2457 Ph: (308) 872-5040

Reviews and Comments

Counselor in Broken Bow, NE

Cherie Mattson, PLMPH Counselor Medicare: Not Enrolled in Medicare Practice Location: 1032 S E St, Broken Bow, NE 68822 Phone: 308-872-2123
Eddie Schaaf, Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 N 7th Ave, Broken Bow, NE 68822 Phone: 308-872-6821 Fax: 308-872-2751
Michele Taylor, PLMHP Counselor Medicare: Medicare Enrolled Practice Location: 525 S 9th Ave, Broken Bow, NE 68822 Phone: 308-872-5040 Fax: 308-872-5060
Valerie Harris, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 145 Memorial Dr, Broken Bow, NE 68822 Phone: 308-872-4020
Ms. Janet E Dobesh, LMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1015 S D St, Broken Bow, NE 68822 Phone: 308-872-2123 Fax: 308-872-2123
Mrs. Jessica R Mccaslin, LIMHP, LMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 255 S 10th Ave Ste 101, Broken Bow, NE 68822 Phone: 308-381-7487

Christina Danielle Larsen, - Medicare Counselor in Broken Bow, NE