| Job Larson, MD | |
|
278 Vt Route 149, West Pawlet, VT 05775-9798 | |
| (802) 645-0580 | |
| Not Available |
| Full Name | Job Larson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 278 Vt Route 149, West Pawlet, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326426651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 042.0013562 (Vermont) | Primary |
| Entity Name | Community Health Centers Of The Rutland Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336193838 PECOS PAC ID: 2961467386 Enrollment ID: O20041129000357 |
| Entity Name | Community Health Centers Of The Rutland Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073567590 PECOS PAC ID: 2961467386 Enrollment ID: O20041129000784 |
| Entity Name | Community Health Centers Of The Rutland Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104870922 PECOS PAC ID: 2961467386 Enrollment ID: O20050131001023 |
| Entity Name | Community Health Centers Of The Rutland Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467681114 PECOS PAC ID: 2961467386 Enrollment ID: O20100804000784 |
| Entity Name | Community Health Centers Of The Rutland Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780969345 PECOS PAC ID: 2961467386 Enrollment ID: O20120321000420 |
| Mailing Address | Practice Location Address |
|---|---|
| Job Larson, MD Psc 808 Box 19, Fpo, AE 09618-0001 Ph: () - | Job Larson, MD 278 Vt Route 149, West Pawlet, VT 05775-9798 Ph: (802) 645-0580 |
Carl E Beckler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 278 Vt Route 149, Mettowee Valley Family Health Center, West Pawlet, VT 05775 Phone: 802-645-0580 Fax: 802-645-0587 |