Jennifer Jean Nissly Larsen, MD in South San Francisco, CA

Jennifer Jean Nissly Larsen, MD is a medicare enrolled "Internal Medicine" physician in South San Francisco, California. She went to Jefferson Medical College Of Thomas Jefferson University and graduated in 2011 and has 13 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Permanente Medical Group Inc and her current practice location is 1200 El Camino Real Dept 384, South San Francisco, California. You can reach out to her office (for appointments etc.) via phone at (650) 742-2000.

Jennifer Jean Nissly Larsen is licensed to practice in California (license number A122827) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1578839486.

Contact Information

	Jennifer Jean Nissly Larsen, MD
	1200 El Camino Real Dept 384, South San Francisco, CA 94080-3208
	(650) 742-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Jennifer Jean Nissly Larsen
Gender	Female
Speciality	Internal Medicine
Experience	13 Years
Location	1200 El Camino Real Dept 384, South San Francisco, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jennifer Jean Nissly Larsen attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 2011

NPI Data:

NPI Number: 1578839486
Provider Enumeration Date: 03/25/2012
Last Update Date: 01/10/2022

Medicare PECOS Information:

PECOS PAC ID: 3476781766
Enrollment ID: I20141229002156

Medical Identifiers

Medical identifiers for Jennifer Jean Nissly Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578839486	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A122827 (California)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital - South San Francisco	South san francisco, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	7800

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. Jennifer Jean Nissly Larsen allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Jennifer Jean Nissly 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
Jennifer Jean Nissly Larsen, MD 1200 El Camino Real Dept 384, South San Francisco, CA 94080-3208 Ph: () -	Jennifer Jean Nissly Larsen, MD 1200 El Camino Real Dept 384, South San Francisco, CA 94080-3208 Ph: (650) 742-2000

Reviews and Comments

Internal Medicine Doctors in South San Francisco, CA

Maung Tin, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 99 Oak Ave Apt 217, South San Francisco, CA 94080 Phone: 646-920-7685
Dr. James Nicholas Peros, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000
Edmond L. Schmulbach, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000
Tom A. Vo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000
William Chung, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000
Aruna K. Chinnakotla, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000
Anthony Tun Thu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000

Jennifer Jean Nissly Larsen, MD - Medicare Internal Medicine in South San Francisco, CA