| Mr Tory Leif Larsen, APRN, NP | |
|
872 Mass Ave, Apt 503, Cambridge, MA 02139-3073 | |
| (973) 919-4816 | |
| Not Available |
| Full Name | Mr Tory Leif Larsen |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 872 Mass Ave, Cambridge, Massachusetts |
| 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 |
|---|---|---|---|
| 1669920179 | NPI | - | NPPES |
| 110122144A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 2308024 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lahey Hospital & Medical Center, Burlington | Burlington, MA | Hospital |
| Winchester Hospital | Winchester, MA | Hospital |
| Northeast Hospital Corporation | Beverly, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lahey Clinic Inc | 2264336528 | 1268 |
| Boston University Neurology Associates Inc | 6608772462 | 54 |
| Entity Name | Lahey Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097 |
| Entity Name | Boston University Neurology Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528005436 PECOS PAC ID: 6608772462 Enrollment ID: O20031211000403 |
| Entity Name | Lahey Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Tory Leif Larsen, APRN, NP 872 Mass Ave, Apt 503, Cambridge, MA 02139-3073 Ph: (973) 919-4816 | Mr Tory Leif Larsen, APRN, NP 872 Mass Ave, Apt 503, Cambridge, MA 02139-3073 Ph: (973) 919-4816 |
Mrs. Tiffany Michelle Luongo, FNP, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36 White St, Cambridge, MA 02140 Phone: 617-876-5519 | |
Emily Goddu, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1575 Cambridge St, Cambridge, MA 02138 Phone: 617-876-4344 | |
Kristen Ferreira, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 Mount Auburn St Ste 106, Cambridge, MA 02138 Phone: 617-661-5836 | |
Danielle Homere, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 330 Mount Auburn St, Cambridge, MA 02138 Phone: 617-499-5151 | |
Marie O. Girault, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 119 Windsor St, Cambridge, MA 02139 Phone: 617-665-3600 | |
Mrs. Mary M Eaton, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36 White St, Cambridge, MA 02140 Phone: 617-876-5519 | |
Ana Alyss Skoryk, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 75 Mount Auburn St, Cambridge, MA 02138 Phone: 617-495-5711 |