Ashley Larsen, NP in Snellville, GA - Medicare Nurse Practitioner

Ashley Larsen, NP is a medicare enrolled "Nurse Practitioner - Family" in Snellville, Georgia. Her current practice location is 1700 Medical Way, Snellville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 979-0200.

Ashley Larsen is licensed to practice in Georgia (license number RN223430) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1790297075.

Contact Information

	Ashley Larsen, NP
	1700 Medical Way, Snellville, GA 30078-2195
	(770) 979-0200
	(678) 352-4322

Map and Direction

Provider's Profile

Full Name	Ashley Larsen
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1700 Medical Way, Snellville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790297075
Provider Enumeration Date: 10/26/2017
Last Update Date: 09/09/2022

Medicare PECOS Information:

PECOS PAC ID: 0042560740
Enrollment ID: I20180829004581

Medical Identifiers

Medical identifiers for Ashley Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790297075	NPI	-	NPPES
003215404C	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN223430 (Georgia)	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. Ashley Larsen allows following entities to bill medicare on her behalf.

Entity Name	Premier Anesthesia Of Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811403207 PECOS PAC ID: 6608123724 Enrollment ID: O20180720001402

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. Ashley Larsen 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
Ashley Larsen, NP 1600 Medical Way Ste 100, Snellville, GA 30078-2159 Ph: () -	Ashley Larsen, NP 1700 Medical Way, Snellville, GA 30078-2195 Ph: (770) 979-0200

Reviews and Comments

Nurse Practitioner Nurses in Snellville, GA

Jason R Casey, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1557 Janmar Rd, Snellville, GA 30078 Phone: 678-344-8900 Fax: 678-666-5201
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Mrs. Katherine Evans Davis, RNC, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-876-7464
Tayana Buchanan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 404-610-0205
Dr. Angella Samuels, DNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2795 Main St W Bldg 21, New Horizons Family Clinic, Snellville, GA 30078 Phone: 770-248-1637 Fax: 770-248-1638
Shannon Maria Saroka, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2160 Fountain Dr Ste D, Snellville, GA 30078 Phone: 770-982-7790 Fax: 770-982-7795

Ashley Larsen, NP - Medicare Nurse Practitioner in Snellville, GA