| Dr Terry Lee Larsen, DO | |
|
205 Orchard Dr, Sisseton, SD 57262-2312 | |
| (605) 698-4665 | |
| (605) 698-6401 |
| Full Name | Dr Terry Lee Larsen |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 205 Orchard Dr, Sisseton, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144340712 | NPI | - | NPPES |
| 3075442 | Medicaid | NH | |
| 1017931 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 032.0066383 (Vermont) | Primary |
| Entity Name | Huron Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154312429 PECOS PAC ID: 2769393388 Enrollment ID: O20040123000946 |
| Entity Name | Coteau Des Prairies Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417051517 PECOS PAC ID: 8022926468 Enrollment ID: O20040426000280 |
| Entity Name | Huron Regional Medical Center Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1154312429 PECOS PAC ID: 2769393388 Enrollment ID: O20061104000295 |
| Entity Name | Coteau Des Prairies Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1417051517 PECOS PAC ID: 8022926468 Enrollment ID: O20081015000428 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Terry Lee Larsen, DO Po Box 905, St Johnsbury, VT 05819-0905 Ph: (802) 748-8141 | Dr Terry Lee Larsen, DO 205 Orchard Dr, Sisseton, SD 57262-2312 Ph: (605) 698-4665 |
Kenneth Ransom, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606 | |
Dr. Andrew J Haputa, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 205 Orchard Dr, Sisseton, SD 57262 Phone: 605-698-7681 Fax: 605-698-6423 |