| Jon D Larson, MD | |
|
1245 Washington Ave, Detroit Lakes, MN 56501-3905 | |
| (218) 846-2000 | |
| (218) 846-2114 |
| Full Name | Jon D Larson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 35 Years |
| Location | 1245 Washington Ave, Detroit Lakes, Minnesota |
| 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 |
|---|---|---|---|
| 1508884172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 45023 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hospice Of Red River Valley | Fargo, ND | Hospice |
| Sanford Medical Center Fargo | Fargo, ND | Hospital |
| Essentia Health St Marys - Detroit Lakes | Detroit lakes, MN | Hospital |
| Mahnomen Health Center | Mahnomen, MN | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Medical Center Fargo | 8426967803 | 1125 |
| Sanford Clinic North | 4284546151 | 7 |
| Sanford Medical Center Fargo | 8426967803 | 1125 |
| Entity Name | Sanford Health Of Northern Minnesota |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770849697 PECOS PAC ID: 5597725168 Enrollment ID: O20041025000442 |
| Entity Name | Mahnomen Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942233234 PECOS PAC ID: 3375546112 Enrollment ID: O20060816000210 |
| Entity Name | Sanford Medical Center Fargo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110701000031 |
| Mailing Address | Practice Location Address |
|---|---|
| Jon D Larson, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Jon D Larson, MD 1245 Washington Ave, Detroit Lakes, MN 56501-3905 Ph: (218) 846-2000 |
Dr. Gaurav Suresh Mehta, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Avenue, Detroit Lakes, MN 56501 Phone: 218-847-5611 | |
Benita Behm, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-844-2300 | |
Julie A Pazdernik, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 | |
Robert A Koshnick, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 | |
Dr. Tricia Rae Brein, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 | |
Abigail K Ring, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 | |
Scott Allen Lawrence, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1361 Wenner Rd, Detroit Lakes, MN 56501 Phone: 218-396-6500 Fax: 218-396-6504 |