Calvin Larsen, PA-C - Medicare Physician Assistant in Randallstown, MD

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Calvin Larsen, PA-C is a medicare enrolled "Physician Assistant - Medical" in Randallstown, Maryland. His current practice location is 5401 Old Court Rd, Randallstown, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 521-2200.

Calvin Larsen is licensed to practice in Maryland (license number C0008209) 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 1659033801.

Contact Information

Calvin Larsen, PA-C
5401 Old Court Rd,
Randallstown, MD 21133-5103
(410) 521-2200
Not Available

Map and Direction




Provider's Profile

Full NameCalvin Larsen
GenderMale
SpecialityPhysician Assistant - Medical
Location5401 Old Court Rd, Randallstown, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659033801
  • Provider Enumeration Date: 10/05/2021
  • Last Update Date: 09/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3577946623
  • Enrollment ID: I20220823000293

Medical Identifiers

Medical identifiers for Calvin Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659033801NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical C0008209 (Maryland)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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. Calvin Larsen allows following entities to bill medicare on his behalf.
Entity NameMep Health LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164483558
PECOS PAC ID: 5193610319
Enrollment ID: O20050105000930
Entity NameMep Observation Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093003550
PECOS PAC ID: 2365611845
Enrollment ID: O20110818000338
Entity NameMedstar Medical Group II LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184046187
PECOS PAC ID: 0547413825
Enrollment ID: O20130117000347
Entity NameWhc Physician Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700154226
PECOS PAC ID: 6103093513
Enrollment ID: O20140711000014

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. Calvin 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 AddressPractice Location Address
Calvin Larsen, PA-C
5401 Old Court Rd,
Randallstown, MD 21133-5103

Ph: (410) 521-2200		Calvin Larsen, PA-C
5401 Old Court Rd,
Randallstown, MD 21133-5103

Ph: (410) 521-2200

Reviews and Comments


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Mr. Mario Klimentov Dimitrov, PA-C
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Practice Location: 5401 Old Court Rd, Randallstown, MD 21133
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Scott W Stromberg, PA
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Practice Location: 5401 Old Court Rd, Randallstown, MD 21133
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Practice Location: 5401 Old Court Rd, Randallstown, MD 21133
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Ms. Mindi N Valuckas, PA-C
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Medicare: Not Enrolled in Medicare
Practice Location: 5401 Old Court Rd, Randallstown, MD 21133
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Ms. Jessica L. Ridgely, PA-C
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Practice Location: 5401 Old Court Rd, Randallstown, MD 21133
Phone: 410-521-2200    
Bethany Kate Heaton, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 5401 Old Court Rd, Randallstown, MD 21133
Phone: 410-521-2200    

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.