| Dr Paul Richard Larsen, MD | |
|
100 W South Ave, Chewelah, WA 99019 | |
| (509) 935-8111 | |
| (509) 935-8402 |
| Full Name | Dr Paul Richard Larsen |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 100 W South Ave, Chewelah, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720189749 | NPI | - | NPPES |
| 8241929 | Medicaid | WA | |
| CE9078 | Other | WA | RAILROAD MEDICARE |
| 129298 | Other | WA | LABOR & INDUSTRIES ID # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VX0000X | Obstetrics & Gynecology - Obstetrics | MD00037362 (Washington) | Secondary |
| 207Q00000X | Family Medicine | MD00037362 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Assured Home Health | Spokane, WA | Home health agency |
| Providence St Joseph Hospital | Chewelah, WA | Hospital |
| Providence Mount Carmel Hospital | Colville, WA | Hospital |
| Providence Holy Family Hospital | Spokane, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Washington | 0345139929 | 727 |
| Colville Medical Center Ps | 6709774086 | 19 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194099390 PECOS PAC ID: 0345139929 Enrollment ID: O20040311001453 |
| Entity Name | Providence Health & Services - Wa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902058399 PECOS PAC ID: 9739249350 Enrollment ID: O20090318000512 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paul Richard Larsen, MD Po Box 421, Liberty Lake, WA 99019-0421 Ph: (866) 747-2455 | Dr Paul Richard Larsen, MD 100 W South Ave, Chewelah, WA 99019 Ph: (509) 935-8111 |
Tessa Elizabeth Moore, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 100 W South Ave, Chewelah, WA 99109 Phone: 509-935-8111 Fax: 509-935-0970 | |
Dr. Caleb Christman Holtzer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 W South Ave, Chewelah, WA 99109 Phone: 509-935-8111 Fax: 509-935-0970 | |
Dr. Thomas John Boone, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 410 E King Street, Chewelah, WA 99109 Phone: 509-935-8711 Fax: 509-935-4882 | |
Dr. James Gregory Sisco, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 410 E King St, Chewelah, WA 99109 Phone: 509-935-8711 Fax: 509-935-4882 | |
Dr. Maja Zugec, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 518 E Clay Ave, Chewelah, WA 99109 Phone: 509-935-8424 Fax: 509-935-8402 | |
Dr. Kimberlyn Ann Johnstone, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 410 E King St, Chewelah, WA 99109 Phone: 509-935-8711 Fax: 509-935-4882 | |
Sarah Lay, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Po Box 808, Chewelah, WA 99109 Phone: 509-935-8424 Fax: 509-935-8402 |