Jonathan M Larson, MD in Waconia, MN - Medicare Family Medicine

Jonathan M Larson, MD is a medicare enrolled "Family Medicine" physician in Waconia, Minnesota. His current practice location is 424 W State Highway 5, Waconia, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 442-4461.

Jonathan M Larson is licensed to practice in Minnesota (license number 34626) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1356420079.

Contact Information

	Jonathan M Larson, MD
	424 W State Highway 5, Waconia, MN 55387-1723
	(952) 442-4461
	(952) 442-1213

Map and Direction

Physician's Profile

Full Name	Jonathan M Larson
Gender	Male
Speciality	Family Medicine
Location	424 W State Highway 5, Waconia, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356420079
Provider Enumeration Date: 11/03/2006
Last Update Date: 07/23/2012

Medicare PECOS Information:

PECOS PAC ID: 1658366919
Enrollment ID: I20050719000860

Medical Identifiers

Medical identifiers for Jonathan M Larson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356420079	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	34626 (Minnesota)	Primary

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. Jonathan M Larson allows following entities to bill medicare on his behalf.

Entity Name	Lakeview Clinic, Ltd.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669599981 PECOS PAC ID: 6002801453 Enrollment ID: O20040416000213

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. Jonathan M Larson 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
Jonathan M Larson, MD 424 W State Highway 5, Waconia, MN 55387-1723 Ph: (952) 442-4461	Jonathan M Larson, MD 424 W State Highway 5, Waconia, MN 55387-1723 Ph: (952) 442-4461

Reviews and Comments

Family Medicine Doctors in Waconia, MN

Dr. John E Beithon, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 424 W State Highway 5, Waconia, MN 55387 Phone: 952-442-4461 Fax: 952-442-4419
Timothy M Grangaard, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 424 W State Highway 5, Waconia, MN 55387 Phone: 952-442-4461 Fax: 952-442-1213
Prasun Mandal, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 424 W Highway 5, Waconia, MN 55387 Phone: 952-442-4461
Laurie J Lindor, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 424 W State Highway 5, Waconia, MN 55387 Phone: 952-442-4461 Fax: 952-442-1598
Samuel R Deweese, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 424 W State Highway 5, Waconia, MN 55387 Phone: 952-442-4461 Fax: 952-442-1213
Jon D Wempner, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 424 W State Highway 5, Waconia, MN 55387 Phone: 952-442-4461 Fax: 952-442-1218

Jonathan M Larson, MD - Medicare Family Medicine in Waconia, MN