| Mrs Jennifer Ruth Larson, PA-C | |
|
1515 Saint Francis Ave, Suite 150, Shakopee, MN 55379-3387 | |
| (952) 403-3399 | |
| (952) 403-3390 |
| Full Name | Mrs Jennifer Ruth Larson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 24 Years |
| Location | 1515 Saint Francis Ave, Shakopee, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285684555 | NPI | - | NPPES |
| 216702600 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9789 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mchs Hospitals Inc | 5698071173 | 1195 |
| Infinite Health Collaborative, Pa | 1052225042 | 815 |
| Entity Name | Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346239373 PECOS PAC ID: 2365433224 Enrollment ID: O20040519001426 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
| Entity Name | Lakeview Medical Center Inc of Rice Lake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093201832 PECOS PAC ID: 6103737820 Enrollment ID: O20180817001484 |
| Entity Name | Flambeau Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194317966 PECOS PAC ID: 9032029871 Enrollment ID: O20210409000059 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jennifer Ruth Larson, PA-C 21195 Radisson Rd, Shorewood, MN 55331-9189 Ph: (952) 470-3976 | Mrs Jennifer Ruth Larson, PA-C 1515 Saint Francis Ave, Suite 150, Shakopee, MN 55379-3387 Ph: (952) 403-3399 |
Elizabeth Maureen Kennedy Laliberte, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1601 Saint Francis Ave Ste 100, Shakopee, MN 55379 Phone: 952-403-3535 Fax: 950-403-3599 |
Jennifer E Grundhofer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-993-7750 |
Jodi Lynn Winters, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1515 Saint Francis Ave, Suite 100, Shakopee, MN 55379 Phone: 952-403-3535 |
Ms. Idil Abdirahman Mohamed, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8170 Old Carriage Ct Ste 100, Shakopee, MN 55379 Phone: 952-428-3600 Fax: 952-428-3636 |
Holly M Chappel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1700 Saint Francis Ave Ste 200, Shakopee, MN 55379 Phone: 952-831-8742 |
Eric Harl, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-993-7750 |
Marissa Lyn Looney Wojcik, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1601 Saint Francis Ave Ste 100, Shakopee, MN 55379 Phone: 952-428-2535 Fax: 952-428-3599 |