Mr Andrew Jon Larson, DO - Medicare Pathology in Plymouth, MN

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Mr Andrew Jon Larson, DO is a medicare enrolled "Pathology - Dermatopathology" physician in Plymouth, Minnesota. His current practice location is 9900 13th Avenue North, Suite 2a, Plymouth, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 525-0363.

Mr Andrew Jon Larson is licensed to practice in Indiana (license number 02003283A) 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 1528296043.

Contact Information

Mr Andrew Jon Larson, DO
9900 13th Avenue North, Suite 2a,
Plymouth, MN 55441-5035
(763) 525-0363
(763) 525-0369

Map and Direction




Physician's Profile

Full NameMr Andrew Jon Larson
GenderMale
SpecialityPathology - Dermatopathology
Location9900 13th Avenue North, Plymouth, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528296043
  • Provider Enumeration Date: 06/23/2009
  • Last Update Date: 10/17/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 1153475538
  • Enrollment ID: I20090819000728

Medical Identifiers

Medical identifiers for Mr Andrew Jon Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528296043NPI-NPPES
02003283AOtherININDIANA PROFESSIONAL LICENSING AGENCY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZD0900XPathology - Dermatopathology 02003283A (Indiana)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. Mr Andrew Jon Larson allows following entities to bill medicare on his behalf.
Entity NameDermatology Specialists, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992752117
PECOS PAC ID: 1456248137
Enrollment ID: O20040413000263
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548

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. Mr Andrew Jon 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 AddressPractice Location Address
Mr Andrew Jon Larson, DO
9900 13th Avenue North, Suite 2a,
Plymouth, MN 55441-5035

Ph: (763) 525-0363		Mr Andrew Jon Larson, DO
9900 13th Avenue North, Suite 2a,
Plymouth, MN 55441-5035

Ph: (763) 525-0363

Reviews and Comments


Pathology Doctors in Plymouth, MN

Kristine M Chaudet, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 9900 13th Ave N Ste 2a, Plymouth, MN 55441
Phone: 763-525-0363    
Dr. Mark Steven Wilke, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 9900 13th Avenue N, Ste 2a, Plymouth, MN 55441
Phone: 763-525-0363    Fax: 763-525-0369

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.