Carrie Larsen, FNP -BC is a medicare enrolled "Nurse Practitioner - Family" in Naalehu, Hawaii. Her current practice location is
95-5583 Mamalahoa Hwy., Naalehu, Hawaii. You can reach out to her office (for appointments etc.) via phone at
(808) 333-3600.
Carrie Larsen is licensed to practice in Hawaii (license number 4078-0) 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 1306235825.
Provider's Profile
| Full Name | Carrie Larsen |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 95-5583 Mamalahoa Hwy., Naalehu, Hawaii |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1306235825
- Provider Enumeration Date: 01/21/2015
- Last Update Date: 08/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 5597064345
- Enrollment ID: I20230913003367
Medical Identifiers
Medical identifiers for Carrie Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306235825 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 95001883 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4078-0 (Hawaii) | 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. Carrie Larsen allows following entities to bill medicare on her behalf.
| Entity Name | West Hawaii Community Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952335630
PECOS PAC ID: 1557389400
Enrollment ID: O20051109000287 |
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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. Carrie 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 |
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Carrie Larsen, FNP -BC
75-5751 Kuakini Hwy Ste 203,
Kailua Kona, HI 96740-1753
Ph: (808) 333-3600 | Carrie Larsen, FNP -BC
95-5583 Mamalahoa Hwy.,
Naalehu, HI 96772
Ph: (808) 333-3600 |
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