Tucker Lloyd Larsen, PA-C is a medicare enrolled "Physician Assistant" provider in Plummer, Idaho. He went to University Of Washington School Of Medicine and graduated in 2016 and has 10 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Benewah Medical Center and his current practice location is
427 N 12th St., Plummer, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 686-1931.
Tucker Lloyd Larsen is licensed to practice in Idaho (license number PA-1457) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245671379.
Healthcare Provider's Profile
| Full Name | Tucker Lloyd Larsen |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 10 Years |
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| Location | 427 N 12th St., Plummer, Idaho |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tucker Lloyd Larsen attended and graduated from University Of Washington School Of Medicine in 2016
NPI Data:
- NPI Number: 1245671379
- Provider Enumeration Date: 07/17/2013
- Last Update Date: 12/08/2016
Medicare PECOS Information:
- PECOS PAC ID: 5496037020
- Enrollment ID: I20170116000629
Medical Identifiers
Medical identifiers for Tucker Lloyd Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245671379 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | PA-1457 (Idaho) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Benewah Medical Center | 6709878622 | 22 |
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. Tucker Lloyd 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 |
|---|
Tucker Lloyd Larsen, PA-C
Po Box 388,
Plummer, ID 83851-0388
Ph: (208) 686-1931 | Tucker Lloyd Larsen, PA-C
427 N 12th St.,
Plummer, ID 83851
Ph: (208) 686-1931 |
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