| Heidi C Larson, PA | |
|
2 W 42nd St, Suite 1200, Scottsbluff, NE 69361-0617 | |
| (308) 630-1811 | |
| Not Available |
| Full Name | Heidi C Larson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 2 W 42nd St, Scottsbluff, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528049467 | NPI | - | NPPES |
| 098637077 | Other | NE | MEDICARE |
| 36331415914 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 782 (Nebraska) | Primary |
| Entity Name | Regional West Physicians Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306910534 PECOS PAC ID: 2062301609 Enrollment ID: O20040315001274 |
| Mailing Address | Practice Location Address |
|---|---|
| Heidi C Larson, PA 2 W 42nd St, Suite 1200, Scottsbluff, NE 69361-0617 Ph: (308) 630-1811 | Heidi C Larson, PA 2 W 42nd St, Suite 1200, Scottsbluff, NE 69361-0617 Ph: (308) 630-1811 |
Mrs. Michaela Amroliwalla, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2 W 42nd St Ste 3100, Scottsbluff, NE 69361 Phone: 308-632-2872 Fax: 308-632-4191 |
Mr. Vance V Siedenburg, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3911 Avenue B Ste G100, Scottsbluff, NE 69361 Phone: 308-630-1348 |
Trinity J Fuss, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3911 Avenue B Ste 3100, Scottsbluff, NE 69361 Phone: 308-635-3033 Fax: 308-635-3010 |
Mr. Joseph Edward Jeter, PA-C, MPAS Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3911 Avenue B, Suite 1100, Scottsbluff, NE 69361 Phone: 308-630-2100 Fax: 308-630-2138 |
Katie Metz, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2 W 42nd St, Suite 3100, Scottsbluff, NE 69361 Phone: 308-632-2872 |
Susan J Deal, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3911 Avenue B, Suite 2250, Scottsbluff, NE 69361 Phone: 308-632-7322 Fax: 308-632-6181 |
Mr. Joshua Garza, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3011 Avenue B, Scottsbluff, NE 69361 Phone: 308-630-2215 Fax: 308-632-7921 |