| Larissa Ann Haug, PA | |
|
4 N Park St, Northwood, ND 58267-4102 | |
| (701) 587-6900 | |
| (701) 587-6109 |
| Full Name | Larissa Ann Haug |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 4 N Park St, Northwood, North Dakota |
| 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 |
|---|---|---|---|
| 1710473764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PAC0729 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwood Deaconess Health Center | Northwood, ND | Hospital |
| Cooperstown Medical Center | Cooperstown, ND | Hospital |
| Altru Hospital | Grand forks, ND | Hospital |
| Sanford | Fargo, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwood Deaconess Health Center | 1052207057 | 17 |
| Entity Name | Cooperstown Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962548214 PECOS PAC ID: 5698687689 Enrollment ID: O20040203000722 |
| Entity Name | Northwood Deaconess Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356449136 PECOS PAC ID: 1052207057 Enrollment ID: O20040226000123 |
| Entity Name | Cooperstown Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1235239229 PECOS PAC ID: 5698687689 Enrollment ID: O20060502000847 |
| Entity Name | Northwood Deaconess Health Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1356449136 PECOS PAC ID: 1052207057 Enrollment ID: O20061104000683 |
| Mailing Address | Practice Location Address |
|---|---|
| Larissa Ann Haug, PA 4 N Park St, Northwood, ND 58267-4102 Ph: (701) 587-6900 | Larissa Ann Haug, PA 4 N Park St, Northwood, ND 58267-4102 Ph: (701) 587-6900 |