Dr Mark W Larson, MD is a medicare enrolled "Specialist" physician in Ellensburg, Washington. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 1989 and has 36 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Rural Physicians Group-pannu Pllc and his current practice location is
716 E Manitoba Ave, Ellensburg, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 925-3151.
Dr Mark W Larson is licensed to practice in Washington (license number 2520900035733) 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 1194784090.
Physician's Profile
| Full Name | Dr Mark W Larson |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 36 Years |
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| Location | 716 E Manitoba Ave, Ellensburg, Washington |
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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. |
Medical Education and Training:
- Dr Mark W Larson attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 1989
NPI Data:
- NPI Number: 1194784090
- Provider Enumeration Date: 03/20/2006
- Last Update Date: 05/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 8628114535
- Enrollment ID: I20091007000327
Medical Identifiers
Medical identifiers for Dr Mark W Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1194784090 | NPI | - | NPPES |
| 8219073 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | MD00035733 (Washington) | Secondary |
| 174400000X | Specialist | 2520900035733 (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Rural Physicians Group-pannu Pllc | 0345467486 | 103 |
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 Mark W Larson allows following entities to bill medicare on his behalf.
| Entity Name | Kittitas County Public Hospital Dist 1 |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356375307 PECOS PAC ID: 0547179608 Enrollment ID: O20040213000046 |
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| Entity Name | Rural Physicians Group-pannu Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891236584 PECOS PAC ID: 0345467486 Enrollment ID: O20140909000184 |
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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 Mark W 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 Mark W Larson, MD 716 E Manitoba Ave, Ellensburg, WA 98926-3842 Ph: (509) 925-3151 | Dr Mark W Larson, MD 716 E Manitoba Ave, Ellensburg, WA 98926-3842 Ph: (509) 925-3151 |
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