| Gregory Larson, PA-C | |
|
550 E Colorado Blvd, Spearfish, SD 57783-2776 | |
| (605) 717-8860 | |
| Not Available |
| Full Name | Gregory Larson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 550 E Colorado Blvd, Spearfish, South Dakota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134577448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1039 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Intermountain Health St George Regional Hospital | St george, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hill Center For Dermatology, Pc | 7113971268 | 7 |
| Entity Name | Hill Center for Dermatology, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811020746 PECOS PAC ID: 7113971268 Enrollment ID: O20050310000877 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Larson, PA-C 550 E Colorado Blvd, Spearfish, SD 57783-2776 Ph: (605) 717-8860 | Gregory Larson, PA-C 550 E Colorado Blvd, Spearfish, SD 57783-2776 Ph: (605) 717-8860 |
Jessica Johnson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1420 N 10th St, Spearfish, SD 57783 Phone: 605-717-8595 |
Chloe Jane Mcphilamy, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1420 N 10th St, Spearfish, SD 57783 Phone: 605-717-8595 |
Mark Stephen Heine, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2479 E Colorado Blvd, Spearfish, SD 57783 Phone: 605-644-4460 Fax: 605-644-4461 |
Jeffrey A Schild, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1420 N 10th St, Spearfish, SD 57783 Phone: 605-717-8595 Fax: 605-642-8618 |
Jami Kortan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1445 North Ave, Spearfish, SD 57783 Phone: 605-644-4170 Fax: 605-644-4198 |
Wesley W Broeder, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2479 E Colorado Blvd, Spearfish, SD 57783 Phone: 605-644-4460 Fax: 605-644-4461 |
Dylin L Johnson, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2479 E Colorado Blvd, Spearfish, SD 57783 Phone: 605-644-4460 |