| Nathan Stephen Larsen, RN | |
|
100 N Academy Ave, Danville, PA 17822-7848 | |
| (570) 271-6763 | |
| Not Available |
| Full Name | Nathan Stephen Larsen |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 1 Years |
| Location | 100 N Academy Ave, Danville, Pennsylvania |
| 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 |
|---|---|---|---|
| 1821877150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 985480 (New York) | Primary |
| 163W00000X | Registered Nurse | RN728840 (Pennsylvania) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lourdes Hospital | Binghamton, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Riverside Associates In Anesthesia Pc | 5193792844 | 29 |
| Entity Name | Riverside Associates In Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740276203 PECOS PAC ID: 5193792844 Enrollment ID: O20040913001207 |
| Mailing Address | Practice Location Address |
|---|---|
| Nathan Stephen Larsen, RN 570 Main St, Benton, PA 17814-7848 Ph: (570) 316-9049 | Nathan Stephen Larsen, RN 100 N Academy Ave, Danville, PA 17822-7848 Ph: (570) 271-6763 |
Mr. Bernard J. Gilligan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6621 | |
Mr. Thomas G. Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6621 | |
Matthew Payne, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6211 | |
Ms. Marianne E. Pavis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6621 | |
Ms. Mary M. Podgurski, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6621 | |
Mr. Daniel C. Pace, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6621 Fax: 570-271-6762 | |
Stacey Vernon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 N Aademy Ave, Danville, PA 17822 Phone: 570-271-6621 Fax: 570-271-6762 |