| Mr Richard E Larsen, PA C | |
|
5290 Mcnutt Road, Santa Teresa, NM 88008-1590 | |
| (505) 589-1144 | |
| (505) 589-2008 |
| Full Name | Mr Richard E Larsen |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 27 Years |
| Location | 5290 Mcnutt Road, Santa Teresa, New Mexico |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235182312 | NPI | - | NPPES |
| 00120 | Other | NM | BCBS OF NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | N99PA22 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alto Mar New Mexico Llc | Santa teresa, NM | Home health agency |
| Tender Care Home Health | El paso, TX | Home health agency |
| Tender Care Home Health | Las cruces, NM | Home health agency |
| The Hospitals Of Providence - Sierra Campus | El paso, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Doctors Of Santa Teresa Pc | 6305740002 | 2 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Richard E Larsen, PA C 5290 Mcnutt Road, Po Box 1590, Santa Teresa, NM 88008-1590 Ph: (505) 589-1144 | Mr Richard E Larsen, PA C 5290 Mcnutt Road, Santa Teresa, NM 88008-1590 Ph: (505) 589-1144 |
Mrs. Sunny T Baker, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 609 Missy Ct, Santa Teresa, NM 88008 Phone: 505-571-2524 |