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. He graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Mckenzie Physician Services Llc and 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 accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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
Experience	12 Years
Location	1289 49th Ave, Sweet Home, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tyler Roth Larson graduated from nursing school in 2014

NPI Data:

NPI Number: 1003211103
Provider Enumeration Date: 10/31/2014
Last Update Date: 06/11/2026

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
500785150	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA201515 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mckenzie-willamette Medical Center	Springfield, OR	Hospital
Sacred Heart Medical Center - Riverbend	Springfield, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mckenzie Physician Services Llc	1254307994	51

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: Not Enrolled in Medicare 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
Chad Tyler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments 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