Penny Lee Larson, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Rancho Cordova, California. She went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 1998 and has 28 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Capital Ob/gyn, Inc. and her current practice location is
12646 Thornberg Way, Rancho Cordova, California. You can reach out to her office (for appointments etc.) via phone at
(916) 238-6070.
Penny Lee Larson is licensed to practice in California (license number A93985) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1528057213.
Physician's Profile
| Full Name | Penny Lee Larson |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 28 Years |
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| Location | 12646 Thornberg Way, Rancho Cordova, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Penny Lee Larson attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 1998
NPI Data:
- NPI Number: 1528057213
- Provider Enumeration Date: 10/17/2005
- Last Update Date: 06/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 2769485333
- Enrollment ID: I20060821000430
Medical Identifiers
Medical identifiers for Penny Lee Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528057213 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 01051820A (Indiana) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 55075 (Georgia) | Secondary |
| 2083A0300X | Preventive Medicine - Addiction Medicine | A93985 (California) | Secondary |
| 207V00000X | Obstetrics & Gynecology | A93985 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Capital Ob/gyn, Inc. | 3779580196 | 11 |
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. Penny Lee Larson allows following entities to bill medicare on her behalf.
| Entity Name | Capital Ob/gyn, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730136680
PECOS PAC ID: 3779580196
Enrollment ID: O20061027000244 |
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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. Penny Lee 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 |
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Penny Lee Larson, MD
1756 Magenta Dr,
Roseville, CA 95747-4915
Ph: (530) 300-8576 | Penny Lee Larson, MD
12646 Thornberg Way,
Rancho Cordova, CA 95742-7839
Ph: (916) 238-6070 |
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