Brandy Lee Larson, FNP is a medicare enrolled "Obstetrics & Gynecology - Gynecologic Oncology" in Idaho Falls, Idaho. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Women's Healthcare Associates, P.a. and her current practice location is
808 Pancheri Dr, Idaho Falls, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 557-2900.
Brandy Lee Larson is licensed to practice in Idaho (license number CNP60357) 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 1730652280.
Provider's Profile
| Full Name | Brandy Lee Larson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 808 Pancheri Dr, Idaho Falls, Idaho |
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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:
- Brandy Lee Larson graduated from nursing school in 2018
NPI Data:
- NPI Number: 1730652280
- Provider Enumeration Date: 01/08/2019
- Last Update Date: 10/31/2022
Medicare PECOS Information:
- PECOS PAC ID: 8628303799
- Enrollment ID: I20190711001007
Medical Identifiers
Medical identifiers for Brandy Lee Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730652280 | NPI | - | NPPES |
| 1730652280 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 60357 (Idaho) | Secondary |
| 207VX0201X | Obstetrics & Gynecology - Gynecologic Oncology | CNP60357 (Idaho) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Women's Healthcare Associates, P.a. | 3577540616 | 13 |
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. Brandy Lee Larson allows following entities to bill medicare on her behalf.
| Entity Name | Women's Healthcare Associates, P.a. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255400636
PECOS PAC ID: 3577540616
Enrollment ID: O20040706001383 |
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| Entity Name | Aaa American Healthcare Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285979757
PECOS PAC ID: 5294037388
Enrollment ID: O20160106001786 |
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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. Brandy 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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Brandy Lee Larson, FNP
3450 Potomac Way,
Idaho Falls, ID 83404-4970
Ph: (208) 557-2900 | Brandy Lee Larson, FNP
808 Pancheri Dr,
Idaho Falls, ID 83402-3344
Ph: (208) 557-2900 |
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