Marielle Chloe Aline Larsen, PA-C in Moses Lake, WA

Marielle Chloe Aline Larsen, PA-C is a medicare enrolled "Physician Assistant" in Moses Lake, Washington. Her current practice location is 605 S Coolidge St, Moses Lake, Washington. You can reach out to her office (for appointments etc.) via phone at (435) 557-6842.

Marielle Chloe Aline Larsen is licensed to practice in Washington (license number PA.PA.61631353) 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 1861182503.

Contact Information

	Marielle Chloe Aline Larsen, PA-C
	605 S Coolidge St, Moses Lake, WA 98837-1873
	(435) 557-6842
	Not Available

Map and Direction

Provider's Profile

Full Name	Marielle Chloe Aline Larsen
Gender	Female
Speciality	Physician Assistant
Location	605 S Coolidge St, Moses Lake, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861182503
Provider Enumeration Date: 05/08/2023
Last Update Date: 02/12/2025

Medicare PECOS Information:

PECOS PAC ID: 1254852940
Enrollment ID: I20250311001307

Medical Identifiers

Medical identifiers for Marielle Chloe Aline Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861182503	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA.PA.61631353 (Washington)	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. Marielle Chloe Aline Larsen allows following entities to bill medicare on her behalf.

Entity Name	Moses Lake Community Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699862813 PECOS PAC ID: 1254235138 Enrollment ID: O20031121000667

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. Marielle Chloe Aline 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
Marielle Chloe Aline Larsen, PA-C 650 N 600 E, Provo, UT 84606-1912 Ph: () -	Marielle Chloe Aline Larsen, PA-C 605 S Coolidge St, Moses Lake, WA 98837-1873 Ph: (435) 557-6842

Reviews and Comments

Physician Assistant Nurses in Moses Lake, WA

Mr. Ethan D Washburn, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1550 S Pioneer Way, Moses Lake, WA 98837 Phone: 509-793-9770
Chloe Noel Kesterson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 605 S Coolidge St, Moses Lake, WA 98837 Phone: 509-765-0674
Joseph Hancock, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 1550 S Pioneer Way, Moses Lake, WA 98837 Phone: 509-793-9789 Fax: 509-764-3266
Tracy L Estrellado, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-765-0216
Ms. Jennipher Colas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-663-8711
Corbin Moberg, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 605 S Coolidge St, Moses Lake, WA 98837 Phone: 509-793-9785 Fax: 509-764-0344
Mitchell David Valente, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1550 S Pioneer Way, Moses Lake, WA 98837 Phone: 509-793-9790 Fax: 509-764-3244

Marielle Chloe Aline Larsen, PA-C - Medicare Physician Assistant in Moses Lake, WA