Tyler Roth Larson, PA-C in Sweet Home, OR - Medicare Physician Assistant

Tyler Roth Larson, PA-C is a medicare enrolled "Physician Assistant" in Sweet Home, Oregon. His current practice location is 1289 49th Ave, Sweet Home, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 451-6250.

Tyler Roth Larson is licensed to practice in Oregon (license number PA201515) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003211103.

Contact Information

	Tyler Roth Larson, PA-C
	1289 49th Ave, Sweet Home, OR 97386
	(541) 451-6250
	Not Available

Map and Direction

Provider's Profile

Full Name	Tyler Roth Larson
Gender	Male
Speciality	Physician Assistant
Location	1289 49th Ave, Sweet Home, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003211103
Provider Enumeration Date: 10/31/2014
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 7416279005
Enrollment ID: I20201013001368

Medical Identifiers

Medical identifiers for Tyler Roth Larson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003211103	NPI	-	NPPES
000000985776	Other	IN	ANTHEM
300003222	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	10001988A (Indiana)	Secondary
363A00000X	Physician Assistant	50.004194 (Ohio)	Secondary
363A00000X	Physician Assistant	PA201515 (Oregon)	Primary

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. Tyler Roth 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
Tyler Roth Larson, PA-C Po Box 1189, Corvallis, OR 97339-1189 Ph: () -	Tyler Roth Larson, PA-C 1289 49th Ave, Sweet Home, OR 97386 Ph: (541) 451-6250

Reviews and Comments

Physician Assistant Nurses in Sweet Home, OR

Kris Helphinstine, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1023 Main St, Sweet Home, OR 97386 Phone: 541-255-1234 Fax: 541-255-1366
Ms. Meaghan Norvell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1289 49th Ave, Sweet Home, OR 97386 Phone: 541-451-6250
Ms. Kathleen J. Thompson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1023 Main St, Sweet Home, OR 97386 Phone: 833-990-6300 Fax: 541-766-6833
Chad Tyler, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1023 Main St, Sweet Home, OR 97386 Phone: 541-255-1234 Fax: 877-414-2298

Tyler Roth Larson, PA-C - Medicare Physician Assistant in Sweet Home, OR