Mrs Makenzie Sue Larose, NP is a medicare enrolled "Family Medicine" in Cape Girardeau, Missouri. Her current practice location is
352 S Broadview St, Cape Girardeau, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 275-6446.
Mrs Makenzie Sue Larose is licensed to practice in Missouri (license number 2017027611) 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 1881100766.
Provider's Profile
| Full Name | Mrs Makenzie Sue Larose |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 352 S Broadview St, Cape Girardeau, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1881100766
- Provider Enumeration Date: 12/14/2017
- Last Update Date: 12/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 8921347790
- Enrollment ID: I20190222001947
Medical Identifiers
Medical identifiers for Mrs Makenzie Sue Larose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1881100766 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363L00000X | Nurse Practitioner | 2017027611 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | 2017027611 (Missouri) | Primary |
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. Mrs Makenzie Sue Larose 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 |
Mrs Makenzie Sue Larose, NP 352 S Broadview St, Cape Girardeau, MO 63703 Ph: (573) 275-6446 | Mrs Makenzie Sue Larose, NP 352 S Broadview St, Cape Girardeau, MO 63703 Ph: (573) 275-6446 |
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