Mr Mark Wayne Larsen, MSN-E, FNP-C, CEN is a medicare enrolled "Nurse Practitioner - Family" in Afton, Wyoming. His current practice location is
901 Adams St, Afton, Wyoming. You can reach out to his office (for appointments etc.) via phone at
(885) 885-5800.
Mr Mark Wayne Larsen is licensed to practice in Wyoming (license number 1758.1758) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689166266.
Provider's Profile
| Full Name | Mr Mark Wayne Larsen |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 901 Adams St, Afton, Wyoming |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Mark Wayne Larsen attended and graduated from in
NPI Data:
- NPI Number: 1689166266
- Provider Enumeration Date: 05/31/2018
- Last Update Date: 05/31/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Mark Wayne Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689166266 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 1758.1758 (Wyoming) | 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. Mr Mark Wayne 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 |
|---|
Mr Mark Wayne Larsen, MSN-E, FNP-C, CEN
585 W 7615 S,
Willard, UT 84340-9525
Ph: (435) 979-7546 | Mr Mark Wayne Larsen, MSN-E, FNP-C, CEN
901 Adams St,
Afton, WY 83110-9621
Ph: (885) 885-5800 |
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