Theresa A Larson, in Deerfield, IL - Medicare Nurse Practitioner

Theresa A Larson, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Deerfield, Illinois. Her current practice location is 440 Lake Cook Rd Ste 2, Deerfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 236-9310.

Theresa A Larson is licensed to practice in Illinois (license number 209.029761) 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 1942040472.

Contact Information

	Theresa A Larson,
	440 Lake Cook Rd Ste 2, Deerfield, IL 60015-5263
	(847) 236-9310
	(847) 236-9411

Map and Direction

Provider's Profile

Full Name	Theresa A Larson
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	440 Lake Cook Rd Ste 2, Deerfield, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942040472
Provider Enumeration Date: 05/31/2024
Last Update Date: 05/31/2024

Medicare PECOS Information:

PECOS PAC ID: 8123544475
Enrollment ID: I20250429002976

Medical Identifiers

Medical identifiers for Theresa A Larson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942040472	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	209.029761 (Illinois)	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. Theresa A Larson allows following entities to bill medicare on her behalf.

Entity Name	Rodasi Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467691790 PECOS PAC ID: 0749418630 Enrollment ID: O20140123000856

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. Theresa A 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
Theresa A Larson, 440 Lake Cook Rd Ste 2, Deerfield, IL 60015-5263 Ph: (847) 236-9310	Theresa A Larson, 440 Lake Cook Rd Ste 2, Deerfield, IL 60015-5263 Ph: (847) 236-9310

Reviews and Comments

Nurse Practitioner Nurses in Deerfield, IL

Mrs. Debra Lynn Hawkins, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Wilmot Rd # 216, Deerfield, IL 60015 Phone: 217-709-2204 Fax: 217-709-2345
Kirby L Murphy, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49 S Waukegan Rd, Deerfield, IL 60015 Phone: 847-945-4575
Andrea L. Torres, APN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Waukegan Rd, Deerfield, IL 60015 Phone: 847-580-8168
Rachel Lauber, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 350 S Waukegan Rd Ste 100&200, Deerfield, IL 60015 Phone: 312-695-4525 Fax: 312-503-3350
Stephanie Onyeforo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Waukegan Rd, Deerfield, IL 60015 Phone: 847-945-4600

Theresa A Larson, - Medicare Nurse Practitioner in Deerfield, IL