| Carolyn J Larson, CRNA | |
|
1005 Broadway St, Quincy, IL 62301-2834 | |
| (217) 223-8400 | |
| (217) 223-9945 |
| Full Name | Carolyn J Larson |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 15 Years |
| Location | 1005 Broadway St, Quincy, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760709240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1259 (Minnesota) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 041383684 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pipestone County Medical Center | Pipestone, MN | Hospital |
| Sanford Medical Center Worthington | Worthington, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pipestone County Medical Center | 0840109682 | 23 |
| Sanford Health Network | 6800707100 | 307 |
| Windom Area Hospital | 7113911272 | 19 |
| Entity Name | Pipestone County Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447300587 PECOS PAC ID: 0840109682 Enrollment ID: O20031105000578 |
| Entity Name | County Of Murray |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679565287 PECOS PAC ID: 7810806064 Enrollment ID: O20040211000401 |
| Entity Name | Windom Area Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841288644 PECOS PAC ID: 7113911272 Enrollment ID: O20040412001199 |
| Entity Name | Sanford Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699869875 PECOS PAC ID: 6800707100 Enrollment ID: O20040715001116 |
| Entity Name | Pipestone County Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1598751240 PECOS PAC ID: 0840109682 Enrollment ID: O20061121000734 |
| Entity Name | Southwest Minnesota Surgical Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1407023161 PECOS PAC ID: 6305919408 Enrollment ID: O20080723000290 |
| Entity Name | Carris Health - Redwood Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265914048 PECOS PAC ID: 7911259619 Enrollment ID: O20181129001082 |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn J Larson, CRNA 1005 Broadway St, Quincy, IL 62301-2834 Ph: (217) 223-8400 | Carolyn J Larson, CRNA 1005 Broadway St, Quincy, IL 62301-2834 Ph: (217) 223-8400 |
Kaleigh C Kuhlman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3301 Broadway St, Quincy, IL 62301 Phone: 217-222-6220 | |
Ryan Teheng, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3301 Broadway St, Quincy, IL 62301 Phone: 217-277-4090 | |
Ruth Charity Taylor, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3301 Broadway St, Quincy, IL 62301 Phone: 217-277-4090 | |
Tamara Christene Mcdonald, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1005 Broadway, Quincy, IL 62301 Phone: 217-223-8400 Fax: 217-223-9552 | |
Hannah Porter Wolinski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-1200 | |
Brian Kartchner Farrer, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 | |
Mary Cooper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3301 Broadway St, Quincy, IL 62301 Phone: 217-277-4090 Fax: 217-277-6778 |