Dr Tiffany Anna Larson, OD is a medicare enrolled "Optometrist" provider in Oakes, North Dakota. Her current practice location is
409 Main Avenue, Oakes, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 899-2859.
Dr Tiffany Anna Larson is licensed to practice in North Dakota (license number 811) 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 1801577226.
Healthcare Provider's Profile
| Full Name | Dr Tiffany Anna Larson |
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| Gender | Female |
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| Speciality | Optometrist |
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| Location | 409 Main Avenue, Oakes, North Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1801577226
- Provider Enumeration Date: 07/27/2023
- Last Update Date: 07/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 3870947054
- Enrollment ID: I20230921001227
Medical Identifiers
Medical identifiers for Dr Tiffany Anna Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801577226 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 811 (North Dakota) | 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. Dr Tiffany Anna Larson allows following entities to bill medicare on her behalf.
| Provider Name | Be Thou My Vision Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1528844107
PECOS PAC ID: 2163876343
Enrollment ID: O20230921001040 |
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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. Dr Tiffany Anna 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 |
|---|
Dr Tiffany Anna Larson, OD
212 N 4th St,
Oakes, ND 58474-1207
Ph: (701) 899-2859 | Dr Tiffany Anna Larson, OD
409 Main Avenue,
Oakes, ND 58474
Ph: (701) 899-2859 |
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