Mr Larry Nels Larsen, PT, ATC, STS in Shreveport, LA - Medicare Physical Therapist Provider

Mr Larry Nels Larsen, PT, ATC, STS is a medicare enrolled "Physical Therapist" provider in Shreveport, Louisiana. His current practice location is 1717 Irving Pl, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 425-5604.

Mr Larry Nels Larsen is licensed to practice in Louisiana (license number 0321) 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 1497740088.

Contact Information

	Mr Larry Nels Larsen, PT, ATC, STS
	1717 Irving Pl, Shreveport, LA 71101-4605
	(318) 425-5604
	(318) 222-8165

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Larry Nels Larsen
Gender	Male
Speciality	Physical Therapist
Location	1717 Irving Pl, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497740088
Provider Enumeration Date: 09/20/2005
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 8729160288
Enrollment ID: I20080123000710

Medical Identifiers

Medical identifiers for Mr Larry Nels Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497740088	NPI	-	NPPES
1112143	Medicaid	LA
0321	Other	LA	PHYSICAL THERAPY LICENSE#
52161	Other	LA	BC/BS OF LA INDIVIDUAL #
00321	Other	LA	F A RICHARDS INSURANCE
09098	Other	LA	BC/BS OF LA GROUP #
220610	Other	LA	METLIFE HEALTH CARE
PT0321	Other	LA	CLAIMS MANAGEMENT INC.

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	0321 (Louisiana)	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. Mr Larry Nels Larsen allows following entities to bill medicare on his behalf.

Provider Name	Brewer Physical Therapy & Associates Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1477709681 PECOS PAC ID: 9931275419 Enrollment ID: O20080908000005

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. Mr Larry Nels Larsen 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
Mr Larry Nels Larsen, PT, ATC, STS 1717 Irving Pl, Shreveport, LA 71101-4605 Ph: (318) 425-5604	Mr Larry Nels Larsen, PT, ATC, STS 1717 Irving Pl, Shreveport, LA 71101-4605 Ph: (318) 425-5604

Reviews and Comments

Physical Therapist in Shreveport, LA

Suzannah Kathryn York - Crump, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 266 Ockley Dr, Shreveport, LA 71105 Phone: 337-580-0083 Fax: 337-580-0083
Anna Means Moore, PT, DPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2950 Fairfield Ave, Shreveport, LA 71104 Phone: 318-841-0696 Fax: 318-841-0776
Archna Shasta, Physical Therapist Medicare: Medicare Enrolled Practice Location: 7591 Fern Ave Ste 1203, Shreveport, LA 71105 Phone: 318-828-2972
Eberhardt Physical Therapy & Wellness Clinic, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 820 Jordan St Ste 150, Shreveport, LA 71101 Phone: 318-222-7442 Fax: 318-424-4751
Claire Marie Melebeck, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Claiborne Ave, School Of Allied Health, Shreveport, LA 71103 Phone: 318-813-2961 Fax: 318-813-2989
Michael Wayne Wiltcher, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10178 Berrywood Cir, Shreveport, LA 71106 Phone: 318-469-4349
Dr. Courtney E Page, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6969 Fern Loop Ste A, Shreveport, LA 71105 Phone: 317-383-0022

Mr Larry Nels Larsen, PT, ATC, STS - Medicare Physical Therapist in Shreveport, LA