| Mrs Katherine Mccourt Robinson Larson, PA C | |
|
4725 36th Ave N, Crystal, MN 55422-2169 | |
| (218) 208-2058 | |
| Not Available |
| Full Name | Mrs Katherine Mccourt Robinson Larson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 4725 36th Ave N, Crystal, 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 |
|---|---|---|---|
| 1154315133 | NPI | - | NPPES |
| 131240 | Other | UCARE | |
| 0115028 | Other | MEDICA | |
| 215598200 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9624 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pinnacle Dermatology Sc | 8628353380 | 145 |
| Entity Name | Minnesota Dermatology, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609009380 PECOS PAC ID: 1658418181 Enrollment ID: O20091102000251 |
| Entity Name | Pinnacle Dermatology SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861930984 PECOS PAC ID: 8628353380 Enrollment ID: O20200715003001 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Katherine Mccourt Robinson Larson, PA C 820 Springer Dr, Lombard, IL 60148-6413 Ph: (815) 744-8554 | Mrs Katherine Mccourt Robinson Larson, PA C 4725 36th Ave N, Crystal, MN 55422-2169 Ph: (218) 208-2058 |
Mrs. Katherine Rose Clark, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5109 36th Ave N, Crystal, MN 55422 Phone: 763-587-7999 Fax: 763-587-7989 |
Stephanie Albrecht Lee, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5700 Bottineau Blvd Ste 100, Crystal, MN 55429 Phone: 763-504-6500 |
Sara Lynn Budhoo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5700 Bottineau Blvd, Crystal, MN 55429 Phone: 763-504-6550 |
Lisa Lapointe, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5109 36th Ave N, Crystal, MN 55422 Phone: 763-587-7900 Fax: 763-587-7989 |
Mary E Broughton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5109 36th Ave N, Crystal, MN 55422 Phone: 763-587-7900 Fax: 763-587-7989 |
Lisa Legvold, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4725 36th Ave N, Crystal, MN 55422 Phone: 218-208-2058 |
Tammy Gregerson, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5502 W Broadway Ave, Crystal, MN 55428 Phone: 763-504-6500 Fax: 763-504-6544 |