Madeline Jo Larson, PA-C is a
Physician Assistant physician based in Lafayette, Colorado. Madeline Jo Larson is licensed to practice in Colorado (license number PA.0009316) and her current practice location is 1140 W South Boulder Rd Ste 202, Lafayette, Colorado. She can be reached at her office (for appointments etc.) via phone at
(303) 604-1444.
NPI number for Madeline Jo Larson is 1366247173 and her current mailing address is 1140 W South Boulder Rd Ste 202, Lafayette, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366247173.
Physician's Profile
Full Name | Madeline Jo Larson |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1140 W South Boulder Rd Ste 202, Lafayette, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366247173
- Provider Enumeration Date: 02/17/2025
- Last Update Date: 08/19/2025
Medical Identifiers
Medical identifiers for Madeline Jo Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366247173 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | PA.0009316 (Colorado) | Secondary |
363A00000X | Physician Assistant | PA.0009316 (Colorado) | Primary |
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. Madeline Jo Larson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Madeline Jo Larson, PA-C 1140 W South Boulder Rd Ste 202, Lafayette, CO 80026-8910 Ph: (303) 604-1444 | Madeline Jo Larson, PA-C 1140 W South Boulder Rd Ste 202, Lafayette, CO 80026-8910 Ph: (303) 604-1444 |
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