Suzanne Pace Larson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Sanford,l, Colorado. Her current practice location is
21278 Saddle Mountian Dr, Sanford,l, Colorado. You can reach out to her office (for appointments etc.) via phone at
(806) 282-7094.
Suzanne Pace Larson is licensed to practice in Colorado (license number APN.0995591-NP) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396363412.
Provider's Profile
Full Name | Suzanne Pace Larson |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 21278 Saddle Mountian Dr, Sanford,l, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396363412
- Provider Enumeration Date: 07/07/2020
- Last Update Date: 07/07/2020
Medicare PECOS Information:
- PECOS PAC ID: 7618406745
- Enrollment ID: I20250217000866
Medical Identifiers
Medical identifiers for Suzanne Pace Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396363412 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | APN.0995591-NP (Colorado) | Primary |
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. Suzanne Pace Larson allows following entities to bill medicare on her behalf.
Entity Name | Lykos Medical Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215423124 PECOS PAC ID: 0941558035 Enrollment ID: O20180806003125 |
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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. Suzanne Pace 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 |
Suzanne Pace Larson, FNP-C Po Box 44, Sanford, CO 81151-0044 Ph: (719) 580-5757 | Suzanne Pace Larson, FNP-C 21278 Saddle Mountian Dr, Sanford,l, CO 81151-8115 Ph: (806) 282-7094 |
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