Mr Richard E Larsen, PA C is a medicare enrolled "Physician Assistant" in Santa Teresa, New Mexico. He went to University Of Texas Medical Branch At Galveston and graduated in 1998 and has 28 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Doctors Of Santa Teresa Pc and his current practice location is
5290 Mcnutt Road, Santa Teresa, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 589-1144.
Mr Richard E Larsen is licensed to practice in New Mexico (license number N99PA22) 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 1235182312.
Provider's Profile
| Full Name | Mr Richard E Larsen |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 28 Years |
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| Location | 5290 Mcnutt Road, Santa Teresa, New Mexico |
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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 Richard E Larsen attended and graduated from University Of Texas Medical Branch At Galveston in 1998
NPI Data:
- NPI Number: 1235182312
- Provider Enumeration Date: 05/18/2006
- Last Update Date: 07/13/2026
Medicare PECOS Information:
- PECOS PAC ID: 9931288479
- Enrollment ID: I20080508000404
Medical Identifiers
Medical identifiers for Mr Richard E Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235182312 | NPI | - | NPPES |
| 00120 | Other | NM | BCBS OF NM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | N99PA22 (New Mexico) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Doctors Of Santa Teresa Pc | 6305740002 | 2 |
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. Mr Richard E Larsen allows following entities to bill medicare on his behalf.
| Entity Name | Doctors of Santa Teresa PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639121692
PECOS PAC ID: 6305740002
Enrollment ID: O20031124000676 |
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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 Richard E 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 |
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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 |
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