Stacey Inez Larson, APNP in Boscobel, WI - Medicare Nurse Practitioner

Stacey Inez Larson, APNP is a medicare enrolled "Nurse Practitioner - Family" in Boscobel, Wisconsin. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Memorial Hospital Of Boscobel and her current practice location is 205 Parker St, Boscobel, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 375-4112.

Stacey Inez Larson is licensed to practice in Wisconsin (license number 10996) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1427629492.

Contact Information

	Stacey Inez Larson, APNP
	205 Parker St, Boscobel, WI 53805-1642
	(608) 375-4112
	Not Available

Map and Direction

Provider's Profile

Full Name	Stacey Inez Larson
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	205 Parker St, Boscobel, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stacey Inez Larson graduated from nursing school in 2020

NPI Data:

NPI Number: 1427629492
Provider Enumeration Date: 07/09/2021
Last Update Date: 07/09/2021

Medicare PECOS Information:

PECOS PAC ID: 7618371774
Enrollment ID: I20210811002284

Medical Identifiers

Medical identifiers for Stacey Inez Larson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427629492	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	10996 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Gundersen Boscobel Area Hospital And Clinics	Boscobel, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Memorial Hospital Of Boscobel	8325957673	43

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. Stacey Inez Larson allows following entities to bill medicare on her behalf.

Entity Name	Memorial Hospital Of Boscobel
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760459846 PECOS PAC ID: 8325957673 Enrollment ID: O20040115000725

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. Stacey Inez Larson 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
Stacey Inez Larson, APNP 205 Parker St, Boscobel, WI 53805-1642 Ph: (608) 375-4112	Stacey Inez Larson, APNP 205 Parker St, Boscobel, WI 53805-1642 Ph: (608) 375-4112

Reviews and Comments

Nurse Practitioner Nurses in Boscobel, WI

Maria R Kindrai, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 Parker St, Boscobel, WI 53805 Phone: 608-375-2424
Ann Drayman, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 Parker Street, Boscobel, WI 53805 Phone: 608-375-4112
Halie Ruff, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Parker St, Boscobel, WI 53805 Phone: 608-375-4144
Rita C Walker, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 208 Parker St, Boscobel, WI 53805 Phone: 608-375-4144 Fax: 608-375-5629
Mrs. Melissa R Knutson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 Parker St, Boscobel, WI 53805 Phone: 608-375-4112
Judith C Lyness, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 W Bluff St, Boscobel, WI 53805 Phone: 608-375-2424 Fax: 608-375-6285

Stacey Inez Larson, APNP - Medicare Nurse Practitioner in Boscobel, WI